Laserfiche WebLink
gir PERMIT APPLICATION <br /> BUILDING I MECHANICAL/ PLUMBING/SIGN I SPRINKLER/DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET,EVERETT,WA 98201 <br /> (P)425-257-8810 I FAX 425-257-8857 I(E)everetteps@everettwa.gov 1 www.everettwa.gov/permits <br /> PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS: 132.1 Cat bLs Av,e PROPERTY TAX#: 004 3$S24(o 00000 <br /> Evec•e4-4. ,wA giazoto <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> ;:CONTACT INFORMATION`, <" <br /> OWNER NAME: ?tLovkt:,eNCE ISA-t-Tt4{ `v-• SE RvtGE S TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: STREET IaC9\ 'LI!U'D AVE Stn.) 4901(0 <br /> cliv Peri To N3 STATE VQ A" ZIP 9%0S-} <br /> OWNER PHONE: 20(y.215. 3531 OWNER EMAIL: .)Am€S. rabic' JO PeotAD6A./c&.CRC' <br /> CONTRACTOR NAME: M A M04TE fJSoN CpMPM1J`1 <br /> CONTRACTOR ADDRESS: STREET 10210 tto E Pot NTS "PCZ #z0 0 <br /> CITY ,%21GLPC►JD STATE vj(_ ZIP CO$ 33 <br /> CONTRACTOR PHONE:42S• 595-q 0 00 CONTRACTOR EMAIL: IFOU.4• S HD U e e D e,6O mce-c •C <br /> CONTRACTOR LICENSE#(REQUIRED): tApoNoac. tet a.)CD CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): oz1gcoS <br /> PRIMARY CONTACT: 0 OWNER IEI CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 4ZS . 4•=3 . 9-6c1,2_ <br /> F-k'OLLM SfoUga.t DG E CONTACT EMAIL: <br /> Witt- SNuu¢e to�aC�jAle¢�E-NS¢N coal <br /> BUILrDINGPERMIT APIP.LICATI, , <br /> Existing Use of Building: Contract Price of ork:$ <br /> Proposed Use of Building: Heat Source: ❑Ga DElectric ❑Other <br /> Building Type: ❑SFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family #of Units: LUCommercial ['Industrial <br /> Type of Project ❑New ❑Addition ❑Remodel ❑Repair ❑T.1. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use <br /> DESCRIPTION OF WORK: <br /> ln,tatt ae,vo kart OL100 -, CO(P 11aoa. 0Q),13 c Ltet u..)004, Dew O bns duel v cck. 1t kaq <br /> C.161t.ed, osaker. <br /> ASSOCIATED BUILDING PERMIT#(if applicable): .e.1(.010 --O2S <br /> MECHANICA0ERMIT APPLICATION ,,,, ;;: PLUMBING PERMITi APPLICATION , <br /> Type of Project: New_ Addn _ Alteration Repair Type of Project: New Addn C_Alteration _Repair <br /> #of of <br /> List of Fixtures #of List of Fixtures #of List of Fixtures #ur List of Fixtures <br /> Fixtures Fixtures Fixtures Fixtures <br /> A/C-Air Handling Units Heat Pump Toilet Backflow Preventer(Inside Bldg) <br /> Forced Air Systems Unit Heater Bathtub Urinal I <br /> Gas Piping Boiler Lavatory(Wash Basin) Drinking Fountain <br /> Water Heater Refrigeration Shower Floor Drain <br /> Gas Fireplace Wood Stove Kitchen Sink&Disposal Grease Trap <br /> Gas Range I Ducting Dishwasher Roof Drains <br /> Clothes Dryer Hookups Other: Clothes Washer Medical Gas <br /> Range Hood t FEIN COIL UAi tr Water Heater Other: <br /> Exhaust Fan t (ZiocV livors Sink(Service/Bar/Mop/etc.) Other: <br /> �. , ~SPRIINKLER'I SUPPRESSION SYSTEM,;R. <br /> 'Number of Heads <br /> 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 <br /> 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 <br /> Building Official before being authorized under any circumstance./am the owner,or!am authorized by the owner of this property to perform the work for which application is made, <br /> and I comply with the State Contractors Law 18.27 ROW and 296.200A WAC. <br /> City of Everett Official Use Only <br /> j 6. PERMIT k�(0 - O 2 <br /> 5 I�— <br /> Owner/Aufho -d Age Signature Date (Revised 10/12/2015) <br />