2517 51ST ST SW 2016-06-03 - Laserfiche WebLink

4Err PERMIT APPLICATIG BUILDIN J I MECHANICAL/ PLUMBING / SIGN I SPRINKLER/ DEMOLITION 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 I www_everettwa.gov/permits PROJECT SITE INFORMATION PROJECT SITE ADDRESS: , PROPERTY TAX#: LEGAL for new construction: Short a latisubdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: 01 C)( t''E.1 Cf�e,r TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET[ V'C/t2C) i 51 5t s-keezl- 4 t.t.) �j CITY G G// 7 STATE i L? ZIP q X 3 OWNER PHONE: (j?lC —I-1t ."• Z OWNER EMAIL: V CONTRACTOR NAME. 3 {-Cu V__001.....1 no; CONTRACTOR ADDRESS: sTREEr 451 e ar//��--(( '� SC\ �-1--red_-.�- \ cr.,Y MV1 STATE 1 ))O ZP C4 �J�--iL CONTRACTOR PHONE: 3410--1CtL1-1110 4 CONTRACTOR EMAIL: K s• .64.; ooe%r , , Con CONTRACTOR LICENSE#(REQUIRED): }Gk-��el i 1 i ,L.. CITY OF EVERETT BUSINESS LICENSE#(REQUIRED):' (125_ ,l PRIMARY CONTACT: 0 OWNER 0 CONTRACTOR 0 OTHER (Please Specify) CONTACT NAME: 'F--* ,,_.Li , ,:.-;1;,!_. CONTACT PHONE: 347(4,q CONTACT EMAIL: .�mC� K,[) (J{ ,l' oi(.l-i OCI . c(-'f'1') BUILDING PERMIT APPLICATION Existing Use of Building: Contract Price of Work: $ Proposed Use of Building: Heat Source: El Gas ❑Electric ❑Other Building Type: ❑SFR-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: ` ec k C i f, (e rc& 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 #of List of Fixtures #of List of Fixtures I #of Fixtures Fixtures Fixtures Fixtures List of Fixtures NC-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 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 and Wim,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 circu tante.I am 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 tllrlState Contractors Law 18.271 nd 296.200A WAC. City of Everett Official Use Only / PERMIT# 1 0 (oOwn Author zed Agent Signature Date (Revised 10/12/2015)