6208 LARIMER RD 2025-01-23 - Laserfiche WebLink

PERMIT APPLICATION. BUILDING / MECHANICAL/ PLUMBING I SIGN /SPRINKLER/ DEMOLITION '#1171*/ .'"."4 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 www.everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: C 2 O R C r) frn ex' RP St PROPERTY TAX#: LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: N +A Al VC) TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET 1 67 I g °4-4,1 ,4 v'cr c CITY !✓ v 1,11 c e_Pt STATE wA ZIP el gG j OWNER PHONE: 1-VD- j Ll L.F. `)-L/6 p OWNER EMAIL: 4412 y e 7Q/1Oc). Ce CONTRACTOR NAME: N CONTRACTOR ADDRESS: STREET CITY STATE ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: CONTRACTOR LICENSE#(REQUIRED): CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): PRIMARY CONTACT: ,(OWNER 0 CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: J4.j 4if UU CONTACT PHONE: L�2S 31i/4 2 Li CONTACT EMAIL: ti/ S`S ypt,[..t_e BUILDING PERMIT APPLICATION Existing Use of Building: Rig t' Ie v 4-ici 1. Contract Price of Work:$ .44 00 0, d D Proposed Use of Building: 60 ? Heat Source: ❑Gas RElectric tiOther WOre10 I AV,. Building Type: RSFR-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 OF WORK: Re-i,),,,il v( 4 ecJk Gait kik/A-rk- w 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 #°f List of Fixtures #°f List of Fixtures #of List of Fixtures Ffxfures Fixtures Fixtures Fixtures A/C-Air Handling Units Heat Pump I Toilet Backflow Preventer(Inside Bldg) Forced Air Systems Unit Heater I Bathtub Urinal Gas Piping Boiler ( Lavatory(Wash Basin) Drinking Fountain Water Heater `'\ j3 iffi atrbn i Shower Floor Drain Gas Fireplace t Wood Stove L Kitchen Sink&Disposal Grease Trap Gas Range Ducting Dishwasher Roof Drains Clothes Dryer Hookups Other: l Clothes Washer Medical Gas ( Range Hood yfyv\ er Hea Other: `)" Exhaust Fan ¢j Sink(Service/Bar/Mop/etc.) Other: SPRINKLER/SUPPRESSION SYSTEM Chemical or Water No. 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 PER 06 / 7 /03 I9VP—006 Owner/Authorized Agent Signature Date (Revised 9/23/2016)