8522 9TH AVE SE 2016-06-01 - Laserfiche WebLink

OLT PERMIT APPLICATION BUILDING / MECHANICAL / PLUMBING / SIGN / SPRINKLER / DEMOLITION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET,EVERETT,WA 98201 (P)425-257-8810 I FAX 425-257-8857 1(E)everetteps(rheverettwa.gov I www.everettwa.gov/permits PROJECT SITE INFORMATION PROJECT SITE ADDRESS:g522 1441 Ave (L PROPERTY TAX#: LEGAL for new construction: Short Plat/subdivision I o:Ni ialach copy o`long legal descnption) CONTACT INFORMATION OWNER NAME: \ , '- t\csun TENANT NAME (If Commercial): OWNER MAILING ADDRESS: ---- utj�4-}j�' f e. v" etr 1 s:r.-E= Iva -ic 15Z13` OWNER PHONE: 4 ( 9) 5 () OWNER EMAIL:ClarV neIsO fl(& e ; co/2-1 CONTRACTOR NAME la W4--- 1141 14-Vit CONTRACTOR ADDRESS: 11004 1 1$ P . I\f� CONTRACTOR PHONE: 45 014- ljG(C.i(,� CONTRACTOR EMAIL-:‘I1Ob['cIfCK/ isaC. r�Yl CONTRACTOR LICENSE#IREQUIREDI:\ i\( k...\--41,7 �( CITY OF EVERETT BUSINESS LICENSE#(`REQUIRED):035V/ PRIMARY CONTACT: ❑ OWNER X,ONTRACTOR 0 OTHER (Please Specify) C NTACT AME: CONTACT PHONE:r*ay .214(....4 � ��I/1 ,'� rp !JlACONTACT EMAIL:1 . VY 1 IYQI.• 03/1/\ BUILDING PERMIT APPLICATION Existing Use of Building: Contract Price of Work: $ U + co...P- 1 (f - 1 Proposed Use of Building: Heat Source: ❑G,as ❑Electric ❑Other Building Type: ❑SFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units._ ❑Commercial ❑Industrial Type of Project. ONew ❑Addition ORemodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler ['Demolition ❑Change of Use DESCRIPTION OF WORK: -1\e., IY1SAeAc-A\ZPI, ASSOCIATED BUILDING PERMIT#(if applicable): MECHANICAL ERMIT APPLICATION PLUMBING PERMIT APPLICATION I Type of Project: New Adds Alteration Repair Type of Project• New Addn _ Alteration _Repair #of hof #of #of Fixtures List of Fixtures Fixtures List of Fixtures List of Fixtures List of Fixtures Fixtures Fixtures 1 A/C-Air Handling Units Heat Pump Toilet Backflow Preventer(Inside Bldg) Forced Air Systems Unit Heater Bathtub Urinal Gas Piping Boiler Lavatory(Wash Basin) Drinking Fountain Water Heater Refrigeration 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: Exhaust Fan Sink(Service/Bar/Mop/etc.)— Other SPRINKLER 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 P 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 corn. with the State Contractors Law 18.27 RCW and 296.200A WAC. ' / City of Everett Official Use Only ,ip.,, 0#1,. .11, 12 . /j . J f PERMIT i D 01 O•' •uthorized Age lure Date (Revised 10/12/2015)