709 107TH PL SE 2016-09-15 - Laserfiche WebLink

Dec. 17. 2015 9: 12AM ECIE No. 1731 P. 2 PERMIT APPLICATION BUILDING/MECHANICAL/PLUMBING /SIGN/SPRINKLER/ DEMOLITION CITY OF EVERETT PERMIT SERVICES 4wrr 3200 CEDAR STREET,EVERETT,WA 98201 (P)425-257-8810 1 FAX 425-257-8857 1(E)evereQeps c@everettwa.gov I www.everetlwa.gov/permits PROJECT SITE INFORMATION PROJECT SITE ADDRESS:4CR IpTn, jq PROPERTY TAX#: LEGAL for new construction: Shon Plat/subdivisionLot No (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: U(_ H EfZ-- TENANT NAME(If Comnlerclal); OWNER MAILING ADDRESS: srnsEr 401 1N 'STM f L 'g G �[� CIt1�I<i�--//� �A �T7 s-(ATE y V A zip 9b2,08 OWNER PHONE; OWNER EMAIL; CONTRACTOR NAME; I CONTRACTOR ADDRESS: sTREEr CRY STATE ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: CONTRACTOR LICENSE#(REQUIRED): CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): PRIMARY CONTACT: ❑OWNER ❑CONTRACTOR cW-OTHER(Please Specify) G:NC IN Et V, CONTACT NAME: CONTACT PHONE: ZS 3 33 3 5 SS-� CONTACT EMAIL: 131ALIANG PERMITAPPGICATION ExIslIng Use of Building: `5 t�2 Contract Price of Work: Proposed Use of Bltildln : S Heat Source: ❑Gas ❑Electric pother Building Type: -Detached ❑SFR-Attached ❑DupleX ❑Multi-Family-11 of Units: ❑Gommercial ❑Indusirial T e of Pro ect: ❑New ❑Additlon ❑Remodel ❑Re air ❑T.I. ❑SI n [:]Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK; --DAM, I N SOKA ASSOCIATED BUILDING PERMIT# if applicable): MECHANICAL PERMIT APPLICATION PLUMBING PERMIT.APPLICATION Type of Project: ,_,New _ Addn Allerallon -.._Repair Type of Pro)eot; _New �Ad ._ dn Atlerallon _Repair N of List of Fixtures �a of Lfst of F/xtures #of Llsf ofFixfures #of List of Fixtures Fixtures Fixtures Fixtures Fixtures AIC—Air Handling Units Heat Pump Toilet Backflow Preventer Inside 13ld Forced Air Systems Unit Heater Bathtub Urinal Gas Piping Boiler Lavatory(Wash t3asin) 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, lClothes Washer Medical Gas Range Hood Water Heater Other: Exhaust Fan Slnk Service/Bar/Mo /etc, Other, SPRINKLER/ SUPPRESSION SYSTEM Number of Heads ACKNOWLEOGE1dl:NT:1 have reviewed lhls eppficalioo and confirm;the lnlormalioh conialned horain is fold and coftCl,Work done pursuant to this permit must Comply wire current federal,state,and loeallaw.The granling of a permit only authorizes approved wont end no deviations therefrom.Deviations must trrsl he authorized In Wdling from the Buhding Of Olaf before belay auttwrfzed undsrany circumslance.I am the owner,orl em auihofized by Ills owner of thls property to perform the work forwhlch application Is made, and I comply wnh the State Conlractore Law 18.27 RCW and 256.200A WAC, G. City of Everett Official Use Only PERMIT# OwnerlAuth AgentSlgnawre Dale (Re vfsuuT'U/12/2015)