2201 GRAND AVE 2016-11-07 - Laserfiche WebLink

PERMIT APPLICATIO BUILDIN�ECHANICAL / PLUMBING / SIGN�PRINKLER / 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 (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: 22O � G RAN D AVE 1L G� PROPERTY TAX #: LEGAL for new construction: Short PlaUsubdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION owNeR NaMe: CRAIG & MARGO JUNE TENANT NAME (If Commereial): OWNER MAILING ADDRESS: sTReer 2201 GRAND AVE cin EVERETT sTATe WA ziP 98201 OWNER PHONE: 42 'rJ-760-9205 OWNER EMAIL: coNT�ncroR rvanne; ANDERSON INSTALLATION, INC. CONTRACTORADDRESS: srReer 14616 SMOKEY POINT BLVD aTr MARYSVILLE srAreWA ziP98271 CONTRACTOF2 PHONE: 3GO-F)�J�-7900 CONTRACTOR EMAIL: KEVIN.AFPS GMAIL.COM coN-rw�croR uceNse #�REQu�REo�: ANDERI1961 LT CITY OF EVERETT BUSINESS LICENSE #(REQUIRED):O�J4334 PRIMARY CONTACT: ❑ OWNER rC7 CONTRACTOR ❑ OTHER (Please Specify) CONTACT NAME: CONTACT PHONE: 36�-6rj�-79�� KEVIN MCBRIDE coNracrennai�:KEVIN.AFPS GMAIL.COM BUILDING PERMIT APPLICATION Existing Use of Building: Contract Price of Work: $`�D'� Proposed Use of Building: Heat Source: ❑Gas ❑Electric ❑Other Building Type: ❑SFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-# of Units: ❑Commercial ❑Industrial Type of Project: ❑New ❑Addition ❑Remodei ❑Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Chan e of Use DESCRIPTION OF WORK: • ��;5 1^S� ASSOCIATED BUILDING PERMIT # if applicable): PLUMBING PERMIT APPLICATION Type of Project: New _Addn Alteration _Repair Flxtures �jst of Fixtures Fixtu es List of 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 (ServicelBar/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 loca/ 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 1 am authorized by the owner of this property to perform the work for which application is made, and ! comply with the State Confractors Law 18.27 RCW and 296.200A WAC. City of Eve�ett O�cial Use Only � PERMIT �, �;�� - ��:_..�.�--- i`� ,� ,� D /Authorized Agent Signature ate (Revised 9/23/2016)