Laserfiche WebLink
Milli 0 <br /> PERMIT APP .ICATIO <br /> BUILDING I MECHANICAL l PLUMBING!SIGN 1 SPRINKLER l'DEMOLITION <br /> E V E R E T i CITY OF E.VERETT PERMIT'SERVICES <br /> R` 3.200 CEDAR STREET EVEiio-1',WA S8201 <br /> wASHlNarora (P)420-2578810,,,i FAX425-257-88ST' 1{E}everettepseeveret a oy .wwweverett eAlev/permits <br /> (Blue or Black Ink Only Pleas'). PROJECT SITE INFORMATION " <br /> PROJECT SITE ADDRESS 4132 Federal Ave. _PROPi .ERTY TAX#na . <br /> LEGAL for new oonstruceen.•Short Plattsubdivasion Lo Np.- (attach eel* f:lon legal dest lion) <br /> ,_:- . , CONTACT NFORMATION- <br /> OWNER NAME: 'Wash: croft of S,�.A. Church <br /> TENANT suslNt:ss iaAme taxr+ritertiaip <br /> OWNER MAILING ADDRESS: s,RMT32229 Weyerhaeuser Way S <br /> coy Federal Way, srntE WA <br /> OWNER PHONE;(253).661.-6008 <br /> _. . oWrilEvN.;EfitIAIL; <br /> CONTRACTOR NAME SELF (various members of congre"gation)+ <br /> coNTRACToNADDRESS s ar41.32 Federal Ave <br /> My Everett <br /> coNTRCTORi3oNir42,-2,s2-3438 <br /> CONTl�ACTOR EMAIL:ForestParkSDA ht ren c'omeast ni e <br /> CONTRACTOR LICENSE '(REQUIREDy:T JCirr OF EVER TI'OUSINESS LICENSE N(REtat#1RED): ,i <br /> PRIMARY CONTACT: ❑OWNER 0 CONTRACTOR El O <br /> THER"{Please Specify}"FeCillti85 IUtanagsC <br /> CONTACT NAME: 'CONTACT PHONE 425=252-6034 42 382 9066..triable <br /> Gordon Sheidler CONTACT EMAIL: ordottsheidler <br /> � @gmall:c"atn <br /> BUILDING INFORMATION <br /> Existing:Use•of Building:Church Contract Price ofWork:;200O <br /> Proposed Use of Bwtdieg:Church N�Source: .ElG,as DEtectric. Uoiber <br /> BUILDING USE: CISFR :Qlownliouuse ..;riDuplex. DAM). OMuiti-Fatuity-#units; ElCommerciat ©ACcessc :atru turLci e <br /> Type of Project; C}New DAddition �✓Remodel C Repair 'CITA. CJSign USprinkler CODernolition (Change=of Use <br /> DESCRIPTION OF WORK:" • <br /> Btu id•a:storage.closet over stairs.*S E.corner of building <br /> AssociAeo BUILDING PER IT#(ir.applicable): <br /> MECHANICAL PERMIT APPLICATION,. _ PLUMBING�PERMIT APPLICATION <br /> Fixturo List e�f Flxttr�s trtra <br /> Count , t List ofFixtaies List ofF�i�s <br /> ab{1h`t"..E l,41'of Flfit+wroas <br /> ,,'AEC-Afr Handkig Units Gas•Pi In <br /> _ p 9 Baekflaw Prauerste"r tinsddo"Billy) stiiawer.`Tv#.or combo <br /> Boxer Gas <br /> . Range <br /> : Clothes Washer': <br /> SK£a ms rcist F� P <br /> r) <br /> . <br /> Clothes[Dryer Heat Perh�Crciltss Dishwasher <br /> • Sink Re , en et�).Ttct System Rtadelj. 2e af:on kin&n ~curftain .�fptity laund (OP ens(Residential) Commc�ai Ventgatcor� Flooriali Toilet. <br /> •. <br /> Exhaust Hood(Type I) : (Not Heal/AGsystem) Hose Bibb ,Uilnal: . <br /> • Exhaust Hooit(Type II) Wales Heater :interceptor-Grease Weste/WaterPiping.:Repair <br /> ExhaustHood(Residential) .Wood'Stove f - .: tnt eptor-SandlOit y WalerService•(behindmneter) ' " <br /> ..- <br /> Forced Air Systems -Other: Medico Gas Water Valves or Fixtures ~ <br /> Gas Flrepiace/inserrn.og • Roof Dr • <br /> ains Water Heater <br /> SPRINKLER I;SUPPRESSION SYSTEM Sewage Ejector or Sump'POmp Otter; <br /> Water Suppression:System No,of heads - . <br /> Chemical Suppression"System i Ne"olReads <br /> ACKNOWLEDGEMENT t have revieured this'eppiketio0 and confine the information conia/ned herein is true and correct Work aerie to this must comply with <br /> cwre tr9 4ftr(tai bate a neth9.a l a The <br /> gran eid' a pe►'rrdtonly authorizes approved wortr amino deviations therefrom.Deviat/ons'must:iitst be autheitied a wbxng Erethe <br /> crxnrarrr fvdomi,attrte,anafiacaf Eau:Thts,�ranting of <br /> ctrcvmsienc ,leerthe:ownterorlareet4vriz$tdbytfiso'rrnercifth pt itytd:i 410.t t!t! Mft�'t ±-a�iganff,r+tlix <br /> and/comply with Rho Stale continuums Lew t 7 Wand 296200A;WAC. <br /> CftyeI Everett OR7ci arseOnly <br /> 6141°Vitt3 4 4-' ' ' . : ' .. V.;- I(2, I a" 12.1 ' I e)(6r7 <br /> l'i- <br /> . <br />