1607 73RD ST SE 2023-07-31 - Laserfiche WebLink

47T PERMIT APPLICATION BUILDING•ECHANICAL / PLUMBING / SIGN WRINKLER / DEMOLITION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT,WA 98201 (P)425-257-8810 I FAX 425-257-8857 I (E)everetteps@everettwa.gov I www.everettwa.gov/permits PROJECT SITE INFORMATION PROJECT SITE ADDRESS: lhc"7 7 31„ S+ 5P PROPERTY TAX#: LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: R.ItJ(` Kv\tsp,\ TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET 6e 13a - S I ' 1 CITY V STATE W ZIP Q Ev C4Z 3 OWNER PHONE: - C)-- L44-1Z— CA( OWNER EMAIL: CONTRACTOR NAME: 3 IAt V CONTRACTOR ADDRESS: STREET CITY STATE ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: CONTRACTOR LICENSE#(REQUIRED): CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): PRIMARY CONTACT: ©'OWNER ❑ CONTRACTOR ❑ OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: CONTACT EMAIL: BUILDING PERMIT APPLICATION Existing Use of Building: 5 f—r, Contract Price of Work: $ 100b 0 Proposed Use of Building: Heat Source: ❑Gas IgElectric DOther Building Type: WSFR-Detached ❑SFR-Attached ODuplex ❑Multi-Family-#of Units: ❑Commercial 0 Industrial Type of Project: ❑New ❑Addition i 1 Remodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: p )atv Wcd\L) c c— (a(.lVcL4W 2. A(( be +kc , I PisAty p , I—utal,t/ v Y\IDo t>zi c�-64 \--C(oc-t- 1.kk'Cir t{ec,4e►r •CJIioWt 6141/c C. �tr iM I ASSOCIATED BUILDING PERMIT#(if applicable): MECHANICAL PERMIT APPLICATION •7=.PLUMBING PERMIT APPLICATION Type of Project: _New _ Addn Alteration _Repair Type of Project: _New _Addn Alteration _Repair #of List of Fixtures #of List of Fixtures #of List of Fixtures #of List of Fixtures Fixtures Fixtures Fixtures Fixtures 27_ A/C—Air Handling Units Heat Pump., 3 Toilet Backflow Preventer(Inside Bldg) J 'i Forced Air Systems Unit Heater Z_ Bathtub Urinal Gas Piping Boiler "3 Lavatory(Wash Basin) Drinking Fountain Water Heater Refrigeration I Shower Floor Drain Gas Fireplace Wood Stove Kitchen Sink&Disposal Grease Trap Gas Range Ducting Dishwasher Roof Drains Clothes Dryer Hookups Other: Clothes Washer Medical Gas Range Hood Bter-F=leat `-- Other: 3 Exhaust Fan Sink(Service/Bar/Mop/etc.) Other: SPRINKLER / 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.1 am the owner,or I am authorized by the owner of this property to perform the work for which application is made, and 1 comply with the State Contractors Law 1 27 RCW and 296.200A WAC. ( City of Everett Official Use Only 1 ,, �"L _l / PERMIT I �� A .-00 Owner/Authorized Agent Signature Date (Revised 10/12/2015) Z