719 OLYMPIC BLVD 2016-10-04 - Laserfiche WebLink

��- � � PERMIT APPLICATION BUILDIN�ECHANICAL / PLUMBING / SIGN �RINKLER / 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 OWNER NAME: �r�C ` OWNER MAILING ADDRESS OWNER PHONE: 'ya�� CONTRACTOR NAME: CONTRACTOR ADDRESS: CONTACT INFORMATION TENANT NAME (If Commercial): -� srREEr ��(J �vjC ?S 7oC CITY �VetC STATE ZIP �gp�,O �" OSS OWNER EMAIL: i CU C'�.,r n � / STREET CITY STATE CONTRACTOR PHONE: �CONTRACTOR EMAIL: " � � ^ � � � � CONTRACTOR LICENSE #(REQUIREC�: n '� """Y OF EVERETT�BUSINESS LICENSE #(REQUIRED): PRIMARY CONTACT: ❑ OWNER �CONTRACTOR ❑ OTHER (Please Specify) CONTACT NAME: CONTACT PHONE: I ICONTACT EMAIL: _ I BUILDING PERMIT APPLICATION Existing Use of Building: �r1 � ` Contract Price of Work: $ 2 a0 0, Proposed Use of Building: 5�F 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: ��C��{ a5��u ��- 5((�/�jQ%S / rvl ST�{ II S�QI'1��/19� "`C�2 JPi{�.l�i l�00 f �/ � ASSOCIATED BUILDING PERMIT # (if applicable): MECHANICAL PERMIT APPLICATION Type of Project: _New _ Addn _Alteration _Repair Fixtures List of Fixtures Fixtures List of Fixiures A/C — Air Handling Units Heat Pump Forced Air Systems Unit Heater Gas Piping Boiler Water Heater Refrigeration Gas Fireplace Wood Stove Gas Range Ducting Clothes Dryer Hookups Other: Range Hood Exhaust Fan SPRINKLER / SUPPRESSION SYSTEM Number of Heads PLUMBING PERMIT APPLICATION Type of Project: _New _Addn _Alteration _Repair # of List of Fixtures # of List of Fixtures Fixtures Fixtures Toilet Backflow Preventer (Inside Bldg) Bathtub Urinal Lavatory (Wash Basin) Drinking Fountain Shower Floor Drain 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 comply with current federal, state, and local law. The granting of a permit only authorizes approved work and no deviations therefrom. Deviations must fi�st be authorized in writing from the Building Official before being authorized er any circumstance. 1 am the owner, or I am autho�ized by the owner of this property to perform the work for which application is made, and 1 comply with the State Contractor La ' 18.27 RCW and 296.200A WAC. —� City of Everett Official Use Only PERMIT # - �-r/�8 iS ��1-�7� Owner/Authorized Age gn ure Date (Revised 10/12/2015)