1821 34TH ST 2016-06-02 - Laserfiche WebLink

g7 PERMIT APPLICATIO BUILDING / MECHANICAL/ PLUMBING /SIGN I SPRINKLER/ DEMOLITION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET,EVERETT,WA 98201 (P)425-257-8810 1 FAX 425-257-8857 I(E)everetteps@everettwa.gov I www.everettwa.gov/permits PROJECT SITE INFORMATION PROJECT SITE ADDRESS: PROPERTY TAX#: l82./ 3`f-1�-h .-f pd v 3?a q-136, 1 --03 LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) I CONTACT INFORMATION I OWNER NAME: G/{>k 17 ��T TENANT NAME(If Commercial): d OWNER MAILING ADDRESS: STREET 23-0 2 2- 36.7,4 "kw //is/ p fJ p CITY 577'-A/W00D STATE 1/174- ZIP l92. (2- OWNER OWNER PHONE: 2-0G . (4110 • q91 7 OWNER EMAIL: b'tvr--�a.^ft ' i..-{„ 74....a....-1. eorrl CONTRACTOR NAME: /Z4i1Q PA-ie T S/ /01,6 3 4--L-4-nrC,E con/sr-4u c T7o/v) CONTRACTOR ADDRESS: STREET l 9-0 a, 3 2 N O 774-1/.5 /.J.. t ^ 5� cnY 1,4-KE .*F'�57 r el--02K STATE W,4 ZIP 9g 15 CONTRACTOR PHONE: 2t)6. tilt • 75'9 9 CONTRACTOR EMAIL: ret vn/2 tv tS . 70 e- �e) 7tn - 1, Cory CONTRACTOR LICENSE#(REQUIRED): L—A / ? .53`j 5 CITY OF EVERETT BUSINESS LICENSE#(REQUIRED):D 14'5" PRIMARY CONTACT: 0 OWNER CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: !� CONTACT PHONE: 3/0 '/g 6 :g9 c7 M A-R 15 Rt9"C ft'S/`/I"S CONTACT EMAIL: fry/ar-/S d ra c e 7rr/a i(. l oivl �. �:, s, BUILDING PERMIT-APPLICAT'ON �,. .;; Existing Use of Building: ..pwo14-1 Al - Contract Price of Work:$ 42.147 Proposed Use of Building: 1/ Heat Source: ❑Gas ❑Electric ❑Other Building Type:,FR-Detached ❑SFR-Attached ODuplex ❑Multi-Family-#of Units: ❑Commercial ❑Industrial Type of Project: ONew Addition ❑Remodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler El Demolition ❑Change of Use DESCRIPTION OF WORK: l R a V r De rum Pe fc 4->q-/- /esS Ipb'N r!`,a.i. W if-EFL c%{'h f2 R4-�P 72, ciST7W- 5-/}v-LE p-A-/if/L_y Oa)ELL!u(,-- 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 #of Fixtures List of Fixtures Fixtures List of Fixtures #of List of Fixtures #of List of 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 Firepiaci; Wood Stove Kitchen Sink&Disposal Grease Tap 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 t7 l 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 I comply with the State Contractors Law 18.27 RCW and 296 200A WAC. City of Everett Official Use Only PERMIT# 2. 2, /4, �ll00 0 er/Authorized Agent Signature Date (Revised 10/12/2015) „IL /