Laserfiche WebLink
12/05/2017 TUE 13: 40 FAx Fast water Heater u002/OOS <br /> FCOStig. <br /> PERMIT APPLICATION <br /> "1,!,,,..,-:4 " BUILDING/MECFIANICAL I PLUMBING /SIGN/SPRINKLER I DEMOLITION 1,1 -1,;I: <br /> CITY OF EVERETT PERMIT SERVICES i <br /> 3200 CEDAR STREET,EVERETT,WA 98201 <br /> (P)428-257-8810 I FAX 425-257-8857 I(E)everetteps@avaretiwa_gov 1 www.everettwa.gov/permits V <br /> Blue or Black Ink OnI Please PROJECT SITE INFORMATION • ; ; (f. <br /> PROJECT SITE ADDRESS: 1-44 5 - A _,A0 PROPERTY TAX#: 6 (0 =NW 050D <br /> LEGAL for new construatIont short PlaUaubolvIslon Lot No.___ (attach copy of long legal description) j <br /> CONTACT INFORMATION vn*1‘ <br /> OWNER NAME:11‘1 RLI 0'ia Vili71- TENANT NAME Of Commercial): <br /> OWNER MAILING ADDRESS: grim' 7`7 1 1'T t '". N 4 /11-(/) - <br /> OnY � �- °TATE "V'41- LP entliSiMa <br /> OWNER PHONE: 495-t4 5'ISM OWNER EMAIL: ----- <br /> CONTRACTOR NAME: fp ST uki Po'g. . ?-pr`r e--__ - <br /> CONTRACTOR ADDRESS: ?MEET M.1'5 N 1 VI EK— .Q 1- S C Dip _ • <br /> _ <br /> en Rl 01\-k - L/ sum wPr ZIP 1.v D li <br /> CONTRACTOR PHONE: L 25 Q0j, SM '1CONTRACTOR EMAIL:, Z 1-TS. ( - ASA-wDt4c,iema-1'w, (,ovti <br /> CONTRACTOR LICENSE#(REQUIRED);'F.S"j"-w )t''t°1 H3 3c.,, CITY OF EVERETT HU6iNEHS LICENSE#(fiEQUIIED)5 L153 <br /> PRIMARY CONTACT: Cl OWNER 17. CONTRACTOR 0 OTHER(Please Specify) ^ <br /> CONTACT NAME: V , L CONTACT PHONE: Lf g5 , [► <br /> K� l� Cl L1 CONTACT EMAIL: {v1/\i A' ,�� - ix1p p h re/it^, WO <br /> BUILDING PERMIT APPLICATION <br /> EXIstfn: Use of•Bulldln.t: / Contract Price of Work:$ - it <br /> Proposed Use of Building: _ P ' Heat Source: DGae agEaeotric L IOther <br /> Building Type: OSFR-Detoehed DSFR Attached ©Dupiax 0 uiti-Family-#of Units: OCommarolei• ©industrial <br /> Type of Project EINew OAddltlan URemod el tRepalr CIT.1.. CJSfgn CESprinkler ClDemolitlon ❑Change of Use <br /> DESCRIPTION OF WORK: <br /> fvYn ova l re,p\A.Ce e,(c-i-ri c, w o is--ei 1n.c o,- &r <br /> ASSOCIATED BUILDING PERMIT#Of applicable): <br /> ` MECHANICAL PERMIT APPLICATION W PLL►NIBINO,Pt RMIT APPLICATION <br /> Type of Project: _,New _ Adan _Alteration _Repair AN 'type of Project _New _Addri _,_Alteration „_Repair <br /> Fixtures List ofFfxtu Flaturea List•, Fixtures F!x urea Llat of Fixtures Fl vtfea Lisf ofFFxtrlree — • <br /> /UC-AirHandlingUnits H- Pump Toilet EaokfiowPreventer IneldeSid9 <br /> Forced Air Syeteme A nit Heater Bathtub Urinal <br /> Gari Plpine ).Boiler Lavatory{Wash Basin} Dng Fountain <br /> Water Heater Refrigeration Shower Drinking <br /> Drain <br /> 'Gas Fireplace ood Stove Kitchen -Ink&Disposal Grease Trap <br /> Gas Range Qu nal , Dishwasher 'Roof Drains <br /> Clothes Dryer Hook:: . . Other. — 'Clothes Washer Medical Gee <br /> Range Hood ,Water Heater Other: <br /> Exhaust Fan Sink SServlce/Bar/Mop/etas Other: <br /> SPI21N�SLI /-S �gS$ll0 11fI <br /> geamloal or W ---� of Heads . <br /> ACKNOWLEDGDMt;INT I have reviewed this application end oondrm the Informellon contained herein Is true and correct Work done purauanfto this permit must comply wilt, <br /> current federal,stale,and local law.The granting of a permit only authorizes approved work and no deviations therefrom.Deviations must first be eutnor&ed in writing earn the <br /> Building Official baf*e being aulhonted under any alreumetance.I am the owner,or/em euthorized by the owner of this properly to perform the work for which application is made. <br /> end I comply with the Stele Contractors Lew ran i2CW end 29&200A WAG. <br /> City of Everett Officio/Use Only <br /> letR).....gi IP . .5. 1 '+-- 1377.1q-(2- -.- OZ._ - <br /> Own •uthor ze Ag signature Date (Revised 9123!200) - <br />