501 74TH ST SW 2016-10-19 - Laserfiche WebLink

� PERMIT APPLICATION � BUILDING / MECHANICAL / PLUMBING / SIGN I 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 ADDRESS: 501 74th St SW �PROPERTY TAX #: 00708000008100 LEG/AL for new construction: Short Platlsubdivision Lot No. (attach copy of long legal description) CONTACT INPORMATIqN OWNER NAME: Vander Poi, Cheryl TENANT NAME (If Commercial): OWNER MAILING ADDRESS: sTReeT 501 74th St SW cirv Everett STATE WA ziP 98203 OWNER PHONE: 425-387-0760 OWNER EMAIL: cherylh@ymail.com CONTRACTOR NAME: Eagle Pipe & Mechanical CONTRACTOR ADDRESS: srREEr 54 Seven Sisters Rd cirv Port Ludlow STATE WA ZiP 98365 : ''� CONTRACTOR PHONE: 206-765-6851 CONTRACTOR EMAIL: eaglepmwa@gmail.com CONTRACTOR LICENSE #(REc1u�REo): EAGLEPM867LK CITY OF EVERETT BUSINESS LICENSE #(REQUIRED):,; 05414$'�� PRIMARY CONTACT: ❑ OWNER I,�CONTRACTOR ❑ OTHER (Please Specify) = CONTACT NAME: CONTACT PHONE: 206-765-6851 Alisha Wilson coNTacr eMai�: eaglepmwa@gmail.com Existin Use of Buildin : Pro osed Use of Buildin : Building Type: ❑SFR-Detached ❑SFR-Attache Type of Project: ❑New ❑Addition ❑Remodel DESCRIPTION OF WORK: _ -- - "' _ _e- ." I _ � � ., TED BUII�DING PERMIT # BUILDING PERMIT APPLICATION Contract Price q# Work: Heat Source: �L�Gas d ❑Duplex ❑Multi-Family-# of Units: OBepaiL,�. ❑T.I. ❑Sign ❑Sprinkler � �V � Type of Project: _New _ Addn �Alteratian _Repair Fi tures List of Fixtures Fixtures List of Fi�rfures A/C — Air Handlin Units Heat Pump Forced Air S stems Unit Heater Gas Pipin Boiler Water Heater Refri eration Gas Fireplace Wood Stove Gas Ran e Ductin Clothes D er Hookups Other: Ran e Hood Exhaust Fan ' SPRlNKLER / SUPPRES$ION SYSTEM Number of Heads ACKNOWLEDGEMENT: I have reviewed this application and confirm the information contained herein is true and correck 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 OKicial before being authorized under any circumstance. I am the owner, or I am authorized by the owner of this property to pertorm the work for which application is made, and / comply with the State Contractors Law 18.27 RCW and 296.200A WAC. � L7E��triG.. ._ DOt�ier_ ❑Commercial ❑Demolition ❑Chanc ❑Industrial of Use rL,..d2G � ��CZ�(,�1�'JL�f'i 08/29/2016 Owner/Authorized Agent Signature City of Everett Official Use Onty RMIT# �� � (Revised 0 016)