10603 13TH AVE W 2016-06-01 - Laserfiche WebLink

PERMIT APPLICATION.. "IPOE:a BUILDINU I MECHANICAL/ PLUMBING /SIGN rti5FRINKLER / DEMOLITION 40 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: fO(a 3 / �F/' d Je w PROPERTY TAX#: LEGAL for new construction: Short Plat/subdivision // Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: , \ <, Sr, ,.1 C,r i h C1.ej TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET Ft/ere-14- ,e c, S 5; fes. CITY t�t/ere- - STATE IA)/4 ZIP eie7o 5L OWNER PHONE: 612.5-_ 2 3 l - g6 7 `-' OWNER EMAIL: Q,g G 'a 9 D g 7 II 611'44,'/, C0.4.1 CONTRACTOR NAME: y PI p("cc)y Sy S sti. S CONTRACTOR ADDRESS: STREET L/s`t (, L2a, r —/ W,,.' to tiv CITY Sea ,-) / -L I STATE LA..)"\-- ZIP / ff/(J 7 CONTRACTOR PHONE: ZU6 57/ —''/7 Z(, CONTRACTOR EMAIL: '-j—v,,l L� ,,,tpri v Sir S I,eevi_s, c.i � • t- 11 CONTRACTOR LICENSE#(REQUIRED): 5-ii v/6-74-5i�O S—0' CITY OF EVERETT BUSINESS LICENSE#/(REQUIRED): Ow'1 14 PRIMARY CONTACT: 0 OWNER p CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: Zo ‘ - S 7/ - LI 7 L(, f .J e, -<'i r% 1 CONTACT EMAIL: Tv✓I L S„ r/Lr'1' y Sy 5 tedal 5, Co --i p BUILDING PERMIT APPLICATION 1 Existing Use of Building: f e s i G1 e .-1"t, l Contract Price of Work:$ / `/ 2 2-1-1 Proposed Use of Building: Heat Source: ❑Gas ❑Electric ❑Other Building Type: ❑SFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units: ❑Commercial ❑Industrial Type of Project: New ❑Addition ❑Remodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑/Change of Use DESCRIPTION F WORK: gQ G G Pl^d of c C C. _3.6j -Sd`a r- 0 ode, (' - G.11 ' -ze Gr'1 crt c I..Q c-P l0 0-,.., c 5fr ;h i€ . ASSOCIATED BUILDING PERMIT#(if applicable): MECHANICAL PERMIT APPLICATION 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 NC-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/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 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 18.27 RCW and 296.200A WAC. City of Everett Official Use Only i//6 PERMIT# -D1 (00r — 0 IOwner/ thorgent. attfr (Revised 10/12/2015) 1