8600 18TH AVE W 2024-12-05 - Laserfiche WebLink

PERMIT APPLICATION BUILDING/ MECHANICAL/ PLUMBING /SIGN /SPRINKLER/ DEMOLITION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET,EVERETT,WA 98201 (P)425-257-8810 FAX 425-257-8857 1(E)everetteps@everettwa.gov I www.everettwa.gov/permits PROJECT SITE INFORMATION P—ROJECI SITE ADDRESS: PROPERTY TAX#: 0O� LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: {r f JJANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET r 1 ` 1 C CITY 6\ W STATE ,• M ZIP ©� OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME: A+Vk CONTRACTOR ADDRESS: STREET Y� ( CITY �, {;,' STATE 1 ZIP CONTRACTOR PHONE: (p0 CONTRACTOR EMAIL:CONTRACTOR LICENSE#(REQUIRED): L �� CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): • 6(6 PRIMARY CONTACT: ❑OWNER JQ CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: M�� n10 �0 I/) NTACT PHONE: �, 1 %A", �r�I CO CONTACT EMAIL: BUILDING PERMIT APPLICATION Existing Use of Building: MAAAContract Price of Work:$ Z 2� Proposed Use of Building: MWM Heat Source: ❑Gas ❑Electric ❑Other Building Type: ❑SFR-Detached ❑SFR-Attached ❑Duplex P4 Multi-Family-#of Units �, %Commercial ❑Industrial Type of Project: ❑New ❑Addition Wemodel ❑Repair ❑T.I. []Sign ❑Sprinkler ❑Demolition ❑Chan a of Use DESCRIPTION OF WORK: 0%4 NV-%, ek, 44rWr l " n"A"V ffyi& but-^ � An� 'r ASSOCIATED BUILDING P RMIT# if ap Icabl�e�,v � MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION Type of Project: _New _ Addn Alteration _Repair Type of Project: _New _Addn _Alteration _Repair #of 4ist of Fixtures #of List of Fixtures #of List of Fixtures #of List of Fixtu Fixtures Fixtures Fixtures Fixtures A/C—Air Handling Units Heat Pump Toilet Backflow P rater(Inside Bldg) Forced Air Systems Unit Heater Bathtub Uri Gas Piping Boiler Lavatory(Wash Basin) ranking Fountain Water Heater Refrigeration IShower Floor Drain Gas Fireplace Wood Stove Kitchen Sink&Disposal Grease Trap Gas Range Ducting Dishwasher Roof Drains Clothes Dryer Hookups Other: Clothes Wa Medical Gas Range Hood Water ter Other: Exhaust Fan S' Service/Bar/Mop/etc.) Other: SPRINKLER I SUPPRESSION SYSTEM Number of Heads ACKN WLED EMENT:I have reviewed this application and confirm the information contained herein is true and correct.Work done pursuant to this permit must comply with cure eral, te,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 Bu' i O cial b ore 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, a I mpi with t e State Contractors Law 18.27 RCW and 296.200A WAC. City of Everett Official Use Only PERMIT# ^� + O a le `` er A e Agent Signa Dale (Revised 1011212015)