1925 WALNUT ST 2016-11-07 - Laserfiche WebLink

� � � • PERMIT APPLICATI� BUILDING / MECHANICAL / PLUMBING / SIGN / 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 (Blue or Black Ink Only Please) PROJECT SITE INFORMATION ! PROJECT SITE ADDRESS: C � � � PROPERTY TAX #: LEGAL for new construction: Short PlaUsubdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: , j '' � � ° � ' TENANT NAME (If Commercial): OWNER MAILING ADDRESS: srr�eer � �� % CITY ) � �-�i� STATE � � ZIP OWNER PHONE: Z. 2G .� � C'' OWNER EMAIL: (�j , L� C j l� CONTRACTOR NAME: �� CONTRACTOR ADDRESS: sr�tEET 1 1,r / � � ✓ U�' (�/ � � �C�� STATE �/ V � ZIP `� CONTRACTOR PHONE: CONTRACTOR EMAIL: CONTRACTOR LICENSE #(REQUIRED): ��j �Z• � 7�' D� � TJ � CITY OF EVERETT BUSINESS LICENSE #(REQUIRED): � F.�Ei�I� � PRIMARY CONTACT: OWNER CONTRACTOR ❑ OTHER (Please Specify) CONTACT NAME: CONTACT PHON�3�jC1. �j J' ��L�- JC� � � �'� �',i �, CONTACT EMAIL: �� , � �C� ) �( �C" I �� C = C t-�� BUILDING PERMIT APPLICATION Existing Use of Building: Contract Price of W k: $ (rU 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 ❑Remodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: (� ��` l �9--1,C_ � C%T ��' S �� \ J`_' � ASSOCIATED BUILDING PERMIT # (if applicable): MECHANICAL PERMIT APPLICATION Type of Project: _New _ Addn _Alteration _Repair Fi�ctures List of Fixtures Fi�cfures List of Fixtures A/C —Air Handling Units Heat Pump �{i; 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 �°f List of Fixtures Fixtures Fi�rtures ? 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: 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 l am authorized by the owner of this property to perform the work for which application is made, and I comply with tlie Sfate Contractors Law 18.27 RCW and 296.200A WAC. ignature Date City of Everett Official Use Only PER � � (Revised 5/20/2016)