407 47TH ST SE 2016-06-03 - Laserfiche WebLink

PERMIT APPLICATION /IIP--ACITY BUILDING I MECHANICAL I PLUMBING I SIGN I SPRINKLER I DEMOLITION mo' OF EVERETT PERMIT SERVICES .411 3200 CEDAR STREET,EVERETT,WA 98201 (P)425-257-8810 ( FAX 425-257-8857 1(E)everetteps@everettwa.gov 1 www.everettwa.gov/permits PROJECT SITE INFORMATION PROJECT SITE ADDRESS: 1. .6'4 g 41,,,ST 9,e, PROPERTY TAX#: LEGAL for new construction' Short Plat/subdivision�l� _Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: DOW ,e,./4.1,;%1 , + _};, TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET �`-0 Lf 'Yr` St c. (��/ 1 CIT/ f v "�iib STATE \lits Pr VP r O r 0 ,OWNER PHONE: LA Dc ?;"15-5 OWNER EMAIL: CONTRACTOR NAME: CM H . h n J Inc CONTRACTOR ADDRESS: STREET 114 15- I3r oacI wo� Q /� crrr yerejit STATE w ZIP f02V CONTRACTOR PHONE: X12.5 2.59 0p 6 **G CONTRACTOR EMAIL: debbte �crirll4e I*i 9. CoW1 ,CONTRACTOR LICENSE#(REQUIRED): crii N EA S*-oci5 R LI CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 01(0 Dab PRIMARY CONTACT: 0 OWNER Cif CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 425 2,51 66&Cp e Vle a ue rS CONTACT EMAIL: d e we & coil h e Ot11v l , co i l BUILDING PERMIT APPLICATION Existing Use of Building: Contract Price of Work:$ 3 5 I 5 00 ,._ . -- Proposed Use of Building: Heat Source: )Gas ❑Electric ❑Other Building Type: DSFR-Detached )ISFR-Attached ❑Duplex ❑Mutts-Family-#of Units! ❑Commercial Dindustrial Type of Protect ❑New DAddition I:Remodel ORepair ❑T.I. ❑Sign DSprinkier DDemoiition DChange of Use DESCRIPTION OF WORK: tN Si L GU ( VliAAl V 1 WAA4A6u ASSOCIATED BUILDING PERMIT#(if applicable): MECHANICAL PERMIT APPLICATION _ PLUMBING PERMIT APPLICATION Typo of Project: Now _ Addn _Alteration LRopalr Typo of Project: Now _Addn Alteration __Repair #of List of Fixtures #of Ust of Fixtures #or Ust of Fixtures #°f List of Fixtures Fixtures Fixtures Fixtures Fixtures AIC—Air Handling Units\,A\ hj atPumZ1 . - Toilet Backflow Preventer(Inside Bldg) Forced Air Systems Unit Heater Bathtub Urinal Gas Piping Boller 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 end confirm the Information contained herein Is true and correct Work done pursuant to this permit must comply with current federal,slate,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.tam 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 298.200A WAC. City of Everett Official Use Only PERMIT# wnerIAuthorizod A t Signature n Date (Revised 10/1212015)