927 51ST ST SW 2016-06-03 - Laserfiche WebLink

425-252-1666 CM HEATING 11:08:12 a.m. 02-18-2016 1 /2 F'tKMI I AtF'LIt A I IUN I 4n. BUILDING =CHANICAL/PLUMBING / SIGN / III IiINKLER/ DEMOLITION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT,WA 98201 (P)425-257-8810 I FAX 425-257-8857 j(E)everetteps@everettwa.gov I www.everettwa.gov/permits PROJECT SITE INFORMATION PROJECT SITE ADDRESS: 9o--q. t!Cr c $ j PROPERTY TAX#: LEGAL for new construction: Short Plat/subdivislon {� J Lot No. (attach copy of long legal description) CONTACT INFORMATION - OWNER NAME: T2C1 LJJ wen di- TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET`/�qa, 9 St St S\jAJ Q CITY �V),e.Q�t o (1 ' STATE T 1 ZIP c1432,03 OWNER PHONE: 4 j 3 34 OWNER EMAIL: CONTRACTOR NAME: CrY1 +l2n-n N(— CONTRACTOR ADDRESS: STREET 1H55 "bROaCRt-La-t,j CnY STATE (...39 zip 0*c O) CONTRACTOR PHONE:L--Q5 CR51 os-s-o os—s— CONTRACTOR EMAIL red-- -11 AD tilK.Q vA. ,r pj0-; CONTRACTOR LICENSE#(REQUIRED):Crtik(U ta'nh 55'1-71.1-1 CiTY OF EVERETT BUSINESS LICENSE#(REQUIRED): le 6 PRIMARY CONTACT: 0 OWNER 'CONTRACTOR 0 OTHER(Please Specify) CONTACTYNAME: �} CONTACT PHONE: `' 5 `tJ SCI USLJO 11 - (�_M 'O, ' CONTACT EMAIL:01)2j-ea 1(D Cry h c -i 1-5 i WM BUILDING PERMIT APPLICATION Existing Use of Building: Contract Price of Work: $____16._ ______ Proposed Use of Building: Heat Source: PGas ❑Electric ❑Other Building Type: ❑SFR-Detached , SFR-Attached ❑Duplex ❑Multi-Family-#of Units: ❑Commercial ❑Industrial Type of Project: ❑New 1:814ddition ❑Remodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition 0Chan9e of Use DESCRIPTION OF WORK: i. ' ,Carl/ &O S nCt c e— 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 Lit oxtures #of fFl Fixtures Fixtures List of Fixtures Fixtures List of Fixtures Fixtures List of Fixtures A/C-Air Handling Units Heat Pump Toilet Backflow Preventer(Inside Bldg) I 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 �Oiher: 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 two 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 1 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 / 1714) e .t,t,tPERM # ccoll (p Owner/Authorized Agent Signature Dte (Revised 10/12/201b