1101 OAKES AVE 2016-08-26 - Laserfiche WebLink

�� I�►� � - � • PERMIT APPLICATION� BUILDING / MECHANICAL / PLUMBING / SIGN / SPRINKLER / DEMOLITION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P) 425-257-8810 � FAX 425-257-8857 �(E) everetteps@everettwa.gov � www.everettwa.gov/permits PROJECT SITE INFORMATION PROJECT SITE ADDRESS: PROPERTY TAX #: � , �e P,,�. LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: '<�uq SI.�-�i-� TENANT NAME (If Commercial): OWNER MAILING ADDRESS: sTReer �( � I ��-E t� �+`� CITY -Ji.-y`Q-"�V STATE �� ZIP ��Z�� OWNER PHONE: �I Z S- Sz-Z--� 3S� � OWNER EMAIL: CONTRACTOR NAME: �c,� S� C ar.5�:ti,,c�, _ _�'j_y� L CONTRACTOR ADDRESS: sTReeT ` �,,� ", \ o.-, �J�P cilv �v +t.: �!._� srarE 1� ziP � Z��+ CONTRACTOR PHONE: L- ZC'- jv �-`j rj 5.� CONTRACTOR EMAIL: �i �' (`�� .b� a,.-, i. c � <:�r-. CONTRACTOR LICENSE #(REQUIRED): ��\( IS C-'� � 1 I I � CITY OF EVERETT BUSINESS LICENSE #(REQUIRED): � 3� � 1 Z PRIMARY CONTACT: ❑ OWNER Gj�CONTRACTOR ❑ OTHER (Please Specify) CONTACT NAME: CONTACT PHONE: L�"ZS- �`� � "�iS -� ��_�� p�� CONTACT EMAIL: c� �� ,}�I v, � �-� � � i�� -�«� `� c, r� BUILDING PERMIT APPLICATION Existing Use of Building: 2 Contract Price of Work: $ Q`� v��'1 Proposed Use of Building: Heat Source: ❑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: zt,s�"` �\ fGn��i ��3C� J ,-,'��C 1\ k,",'t1-,2.� 5,�}�c rt, Q,��1�`.s�i'i ASSOCIATED BUILDING PERMIT # (if applicable): PLUMBING PERMIT APPLICATION Type of Project: _New _Addn �Alteration _Repair # of List of Fixtures #°f List of Fixtures Fixiures Fixtures Toilet Backflow Preventer (Inside Bldg) Bathtub Urinal Lavatory (Wash Basin) Drinking Fountain Shower Floor Drain I Kitchen Sink & Disposal Grease Trap Dishwasher Roof Drains Clothes Washer Medical Gas Water Heater Other: Sink (Service/Bar/Mop/etc.) Other: ACKNOWLEDGEMENT: I have reviewed this application and confirm the information contained herein is true and correct. Work done pursuant to this permit must comp/y with current federal, state, and local law. The granting of a permit on/y authorizes approved work and no deviations therefrom. Deviations must first be authorized in writing from the Building Officia/ before being authorized under any circumstance. 1 am the owner, or I am authorized by the owner of this property to perform the work for which application is made, and / comp/y with the State Contractors Law 18.27 RCW and 296.200A WAC. C' i J�- ��_3�_I nt Siqnature Date City of Everett Oflicial Use On/y PERMIT # � � � I � (Revised 10/12/2015)