2211 GIBSON PL 2023-04-10 - Laserfiche WebLink

PERMIT APPLICATION L.,01114p.4 • _ BUILDIS/ MECHANICAL/PLUMBING /SIG9PRINKLER/DEMOLITION CiTY OF EVERETT PERMIT SERViCLS G Vc j(j 3200 CEDAR STREET,EVERETT,WA 98201 '44.**V".."•NitiggY. , (P)425-257-8810 I FAX 425-257-8857 I(E)everetteps@everettwa.gov i www.everettwa.gov/permits • .:.._. .P . ::.:1 1TE�INFORMd4T1.ON:�`:;:•• ::,:'. .,. . .-_. PROJECT SiTE ADDRESS:Q ` I �•e L_d 1 IAre PROPERTY TAX#:PTAs o}= 0 o y t}O• o o$•CO y •OQ LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) - ':G0111TA4•- • ..:,.:.:i:: ._ ._. T;IIVF:ORMAi._:'.,�ONr;=:' ••== : •�:: • OWNER NAME: O b% . e•t L.a.b% Co L 1.( TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREbI 3I9 O Cve_,ajy Auc CITY s.t,,Q re ifr STATE u, A, ZIP ).o OWNER PHONE: 4'Lc - o1�.J Q -q o p v OWNER EMAIL: Inn y f o O,N� /AArs4 t.Corr CONTRACTOR NAME: L-et h t g (.4/yt/ S L L C CONTRACTORE ADDRESS: TR ET CITY STATE ZIP CONTRACTOR PHONE: 'fL?1S 3', 6- -- CONTRACTOR EMAIL: L�C�� /1/V j, 1 EV-- CONTRACTOR LICENSE#(REQUIRED): dam E4 t,$ ce t /v 41 CITY OF EVERETT BUSINESS LICENSE#(REQUIRED):05 607 PRIMARY CONTACT: ❑OWNER ❑CONTRACTOR !K UTHER(Please Specify) AG f.n•r aI a-1. L A••�G 4S CONTACT NAME: CONTACT PHONE: 9 - 'Let 3 -6 es y. L�... I.. a K tom,S CONTACT EMAIL: L C.G,$ � G 0 nwn•G GCS f•.na • .::- '=fir��'.��_:LJ-.._.�:... • +,.1,JC ,_ � _ � _ _-•--.,_:::.. --•:::' _ _..- �... .:=--BUILDiNC`:PERNII'a''`APPLICAT•ONE_='_` ' �~F-s�_=-' - -Existing Use of Building: Contract Price of Work:$ Proposed Use of Building: 5 F�Q,� Heat Source: L�'Gas DElectric ❑Other Building Type: ❑SFR-Detached t1-R-Attached ❑Duplex ❑Multi-Family-#of Units: •❑Commercial ❑Industrial Type of Project: I tew ❑Addition ❑Remodel ❑Repair ❑T.I. :❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: co i SZ-itt,.c? At 6w S c12 ASSOCIATED BUILDING PERMIT#(if applicable): ``'MECHANICAL P'E'RMIT4AP.P_LIcATION = 0400ING PERMIT`APPLI=CATION - Type of Project: New ,_• Addn Alteration Repair Type of Project: 14ew _Addn Alteration Repair #of #of List of Fixtures List of Fixtures #of List of Fixtures #of List of Fixtures Fixtures Fixtures _Fixtures Fixtures NC—Air Handling Units I Heat Pump (p Toilet Backflow Preventer(Inside Bldg) f Forced Air Systems Unit Heater 7.. Bathtub -/ Urinal Gas Piping Boiler 4.. Lavatory(Wash Basin) Drinking Fountain / Water Heater Refrigeration 42-- Shower Floor Drain 2-. Gas Fireplace Wood Stove / Kitchen Sink&Disposal Grease Trap / Gas Range Ducting / Dishwasher Roof Drains / Clothes Dryer Hookups Other: / thes Washer Medical Gas j Range Hood Ater Heater Other: Exhaust Fan Sink(Service/Bar/Mop/etc.) Other: PRINKLER-I SUPPRESSION`SYSTEM _:_::••:= Number of Heads ACKNOWLEDGEMENT I have reviewed this application and confirm the information contained herein is true and correct.Work done pursuant to this permit must comply with current federal,state,and local law.The granting of a permit only authorizes approved work and no deviations therefrom.Deviations must first be authorized in writing from the Building Official before being authorized under any circumstance.I am the owner,or!am authorized by the owner of this property to perform the work for which application is made, and I comply with the State Contractors Law 18.27 RCW and 296.200A WAC. City of Everett Official Use Only PERMIT# �� / k CA ( tX - D2l Owner/A orize Agent Signature Dal (Revised 10/12/2015)