6314 BLUFF PL 2016-07-29 - Laserfiche WebLink

PERMIT APPLICATIO I ?SliP)1:-.4 BUILDIN MECHANICAL/ PLUMBING /SIG -RINKLER/ DEMOLITION CITY OF EVERETT PERMIT SERVI U ll 3200 CEDAR STREET,EVERETT,WA 98201 (P)425-257-8810 I FAX 425-257-8857 !(E)everetteps@everettwa.gov! www.everettwa.gov/permits . ..r.... ........-..._...._.. ....._; .. :. . ..........._. ._....r.. ..... � .. . ._. .. ,. .. :..... . ... .._..PROJ•EfT:SITIe INF.ORMAT� ..t`�.-::_... .. .. . ....-. PIOV4 �R S j/ ..- ,• t A qi o3 PROPERTY TAX#: OOh3 5�O LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) •:. :.:.. _..., ...., r..:.:_r, . ::CONTA0tINP0.RM#Ig;N ;°:` A.-::: _. ... ... , OWNER NAME: 3). t . TENANT NAME(If Commercial): OWNER MAILING ADDRESS: /STREET au's' • I f7& Placer se //� qQ OITY Pk(`LL . baulk �) STATE cJf ,�,,�nZIPP 1O i OWNER PHONE: �'��^ X5.---- ��Qb v OWNER EMAIL: Q' 2.ft� OljwV,C�+ ., COs'L CONTRACTOR NAME: NI( S iked.0.41 O U.0(t ille5 `f` c.aV O1.<-1a CONTRACTOR ADDRESS: STREET 19.'7),0 4414 he- West-st- sr tt`-E . F .0,;› CITY l A.VA S& / STATE w ( ZIP 4gdOf CONTRACTOR PHONE: 14 ate-a 31 —g q c 4, t� g r CONTRACTORnEMAIL: I(,Z c-f e-111.0l U)t'l s„,.. � (If" CEMA— CONTRACTOR LICENSE#(REQUIRED): A-1.1-W 1'-1,1, ❑5-K/ !l5- CITY OF EVERETT BUSINESS LICENSE#(REQUIRED):/ 1 1 lk/- PRIMARY CONTACT: OWNER 0 CONTRACTOR 0 OTHER(Please Specify) . CONTACT NAME: p,�� CONTACT PHONE: q-i --a � ©. — t rCj' O ' iA e(! CONTACT EMAIL: d A A1/or1 cap, BUILoNCPER11ItIyT`APPLICATtON iv' . •.a Existing Use of Building: Contract Price of Work:$ Proposed Use of Building: Heat Source: @Gas CI Electric CI Other Building Type: @SFR-Detached @SFR-Attached ODuplex ❑Multi-Family-#of Units: El Commercial ❑Industrial • Type of Project: @New ElAddition @Remodel I^DRepair OT.I. @Sign ❑Sprinkler ❑Demolition @Change of Use DESCRIPTION OF WORK: f'Oak oakt \cm) *Om, 4+-, i-i, ()Iwo ASSOCIATED BUILDING PERMIT#(if applicable): r rtu: :::_ : • - ..,... PLUMBING•PERMIT•APPLICATION. IfI1:ECHAN10lxL P0RINIT'A'�PPLhG/xTf©N�_':'::` .. .•••.:-. : 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 #of List of Fixtures Fixtures Fixtures Fixtures Fixtures A/C—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 .9., Other: L�Adt7r�1'we..40 -� Exhaust Fan Sink(Service/Bar/Mop/etc.) Other: VY�*Qt - : :. :::SPRIINKLER=;1SUPPRESSION:SYSTEM;:-. ;<: Number 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.lam 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 296.200A WAG. City of Everett Official Use Only 67 / fia.? 16 PERMIT# pt dDq� (J n Owner/ or'ent Signaure ate (Revised 10/12/2015)