2025 98TH ST SE 2016-09-15 - Laserfiche WebLink

PERMIT APPLICATIOO BUILDING"'MECHANICAL / PLUMBING / SIGN / SPRINKLER / DEMOLITION CITY OF EVERETT PERMIT SERVICES OL 3200 CEDAR STREET, EVERETT,WA 98201 (P) 425-257-8810 1 FAX 425-257-8857 1 (E) everetteps@everettwa.gov I www.everettwa.gov/permits PROJECT SITE INFORMATION PROJECT SITE ADDRESS: 2�- Sf SF- PROPERTY TAX#: LEGAL for new construction: Short Plat/subdivision J Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET 2- e�q}� S+ SF- '_ l.�Ay CITY F1-6 rC J STATE kJ / ` ZIP �1 (J�U ZJ OWNER PHONE: vs�(0� -'�Q� ( r 910 OWNER EMAIL: CONTRACTOR NAME U-11� P'C CONTRACTOR ADDRESS: STREET, y b It Its �i2C� S� Sym, CITY tV LtVJ �1L -tel CIt STATE WA ZIP �t 6 Q(J 0�3 CONTRACTOR PHONE: -[ -,� ' - t 3 CONTRACTOR EMAIL: IV-rf"(? 6 LAe'(-(AK-'t Lbn'Av-- -�b CONTRACTOR LICENSE#(REQUlRED):T3W r 3 CITY OF EVERETT BUSINESS LICENSE#(REQUIRED):�SZ� PRIMARY CONTACT: ❑ OWNER EKQONTRACTOR ❑ OTHER (Please Specify) CONTACT NAME: CONTACT PHONE:Lf �� '� 13 l� -bh ><2 CONTACT EMAIL: A YVLQ Gl Ct LJOvL BUILDING PERMIT APPLICATION ` Existing Use of Building: Contract Price of Work: $ 11' Proposed Use of Building: Heat Source: V03as El Electric ❑Other Building Type: ❑SFR-Detached SFR-Attached ❑Duplex ❑Multi-Family-#of Units: ❑Commercial El Industrial Type of Project: El New ❑Addition ❑Remodel El Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: L(tj_ ` v-- V- l r '4 c- ASSOCIATED BUILDING PERMIT# (if applicable): MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION Type of Project: New Addn K Alteration _Repair Type of Project: New Addn Alteration Repair #of #of #of #of Fixtures List of Fixtures Fixtures List of Fixtures Fixtures List of Fixtures List of 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 Other: Exhaust Fan Sink (Service/Bar/Mop/etc.) Other: SPRINKLER/ SUPPRESSION SYSTEM Number of Heads ACKNOWLEDGEMENT:1 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. I am the owner,or I am authorized by the owner of this property to perform the work for which application is made, and I comply with the State Contractors Law 18.27 RCW and 296.200A WAC. City of Everett Official Use Only PERMIT# 1 " I Owner/Authorize Agent Signato Date (Revised 10/12/2015)