4924 33RD AVE W 2016-06-02 - Laserfiche WebLink

PERMIT APPLICATION 41ETT BUILDING / ;HANICAL / PLUMBING I SIGN I : INKLER / DEMOLITION CITY OF EVERETT PERMIT SERVICES 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: 917dt 3 -'Atm l4) PROPERTY TAX#: LEGAL for new construction: Short Plat/subdivision _ Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: —16,e-it gD/ TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET G/Q ,y 33Id Ate. CITY 8Vt zee STATE /NA ZIP 9'2e)3 OWNER PHONE: Ips-3 I"7. 37qg OWNER EMAIL: g 4.4„7,5?AOL. cool CONTRACTOR NAME: A,.�o 3o^ y�15 f a 6(4 f CONTRACTOR ADDRESS: STREET l`i(D/(p /5 loL k-) ,• � .k./ld• CITY !/ St/A i STATE klA ZIP 'r2..7/ CONTRACTOR PHONE: 360 657 -75 o CONTRACTOR EMAIL: /04/ine4,4cf-Son F/t ficrt4 Secs .CGS? CONTRACTOR LICENSE#(REQUIRED): ANPair VLF CITY OF EVERETT BUSINESS LICENSE#(REQUIRED):OSY 3 341 PRIMARY CONTACT: 0 OWNER El CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: KR,viih 14ctc - CONTACT PHONE: 3(4) ()yl --790-0 CONTACT EMAIL: �iiC? A Ic� , Tr'tpr/cGt� �5r; > . ee-•'=� BUILDING PERMIT APPLICATION Existing Use of Building: Contract Price of Work: $ 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 DTA. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION, fp, 1—ns tetliccht,..-N c h'1z nt <pi, 4- 1.Ne 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 4 of List of Fixtures Fixtures Fixtures Fixtures Fixtures 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 / 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.lam the owner,or lam 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 .2-77E.PERMIT# `^/� 1 E1^ — .O i(O / q6-'t`pi