4729 VIEW DR 2023-12-08 - Laserfiche WebLink

• , PERMIT APPLICATION. /4111° .,0"—"A' BUILDING I MECHANICAL/ PLUMBING /SIGN I SPRINKLER I DEMOLITION CITY OF EVERETT PERMIT SERVICES Tr-,-,44101- - 3200 CEDAR STREET,EVERETT,WA 98201 (P)425-257-8810 I FAX 425-257-8857 1(E)everetteps@everettwa.gov 1 www.everettwa.gov/permits PROJECT SITE:INFORMATION PROJECT SITE ADDRESS J/72 % /J/ems n�.), . PROPERTY TAX#: (-�j/j;/j ` 0a()C� 70 Ate LEGAL for new construction: Short Plat/subdivision ✓✓ Lot No. (attach copy of long legal description) : ;CONTACT;INFORMATION OWNER NAME: go 6Lc,,- F;%(,` •� J TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET C/7,�9 • V eo- 7;/)///ei CITY 6,--- �t i, STATE �/4 ZIP F,21:" r OWNER PHONE: 4(2 - S d I( , CC 7 OWNER EMAIL: CONTRACTOR NAME: CONTRACTOR ADDRESS: STREET CITY STATE ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: CONTRACTOR LICENSE#(REQUIRED): CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): PRIMARY CONTACT: ❑OWNER 0 CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: CONTACT EMAIL: BUILDINOPERMIT APPLICATION - / Existing Use of Building: Contract Price of Work:$ 7` ��-� Proposed Use of Building: (,V4.tp(i- Heat Source: ❑Gas Electric l ❑Other Building Type: ❑SFR-Detached 11SFR-Attached ODuplex DMulti-Family-#of Units: ❑Commercial ❑Industrial Type of Project: IgNew DAddition DRemodel DRepair DT.I. L Sign DSprinkler ClDemolition CDChange of Use DESCRIPTION OF WORK: a (--KL..4 Aec' -- -a9,e./ ASSOCIATED BUILDING PERMIT#(if applicable): - PLUMBING PERMIT APPLICATION. MECHANICAL PERMIT APPLICATION:` Type of Project: _New ^ Addn _Alteration _Repair Type of Project: New _Addn _Alteration Repair #of #of #of List of Fixtures #of List of Fixtures List of Fixtures List of Fixtures Fixtures Fixtures Fixtures Fixtures A/C-Air Handling Units Heat Pump 1, Toilet Backflow Preventer(Inside Bldg) Forced Air Systems Unit Heater Bathtub • Urinal Gas Piping Boiler 1 Lavatory(Wash Basin) Drinking Fountain I ' 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 Water Heater Other: !i-K" Exhaust Fan Sink(Service/Bar/Mop/etc.) Other: SPRINKLER./_SUPPRESSION SYSTEM: _:.: Number of Heads ACKNOWLEDGEMENT:1 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 I 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# t. 1, ` U0�/ A _c _ ((- U Z Owne/Autfi'kited Agent Signature Date (Revised 10/12/2015) Iz.