312 PECKS DR 2017-01-13 - Laserfiche WebLink

, PERMIT APPLICATION ! BUILDING / MECHANICAL / PLIDMBING / SIGN / SPRINKLER / DEMOLITION CITY OF EVERE=TT PERMIT SERVICES 3200 CEDAR STRI�ET, EVERETT, WA 98201 (P) 425-257-8810 � FAX 425-257-8857 �(E) everetteps@everettwa.gov � www.everettwa.gov/permits Blue or Black Ink ECT SITE ADDRESS: ,_�/ � PROJECT SITE IMIFORMATION PROPERTY TAX #: C�C� � f`� �� %C7 �-I G�. for new construction: Short PlaUsubdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: �- '��-7.�.�' y��`� TEfWANT NAME (If Commercial): OWNER MAILING ADDRESS: srReeT �/�? J`�� G s f� CITY �`��L� �� STATE VV�/H ZIP C[v?`�,.! OWNER PHONE: c, � �� C? OWNER E�AAIL: �"5 F'v f 2? ��.' rc'h '%�`, C �►'�'i CONTRACTOR NAME: ��U I� �C/}�— CONTRACTOR ADDRESS: srReeT CITY STATE 21P CONTRACTOR PHONE: CONTRAGTOR EMAIL: CONTRACTOR LICENSE #(REQUIRED): CITY OF EVERETT BUSINESS LICENSE #(REQUIRED): PRIMARY CONTACT: OWNER ❑ CONTRACTOR ❑ OTHER (Please Specify) CONTACT NA E• CONTACT PHONE: •�•7 � 3�'7 �_ �ll��'�`C � ��s`-�- `i��G�k� CONTACT EMAIL: -?..-�� ,; f„ ' g`, �"P Y` '-,� (-: �,� �<- �- J I'`cs'F i C' G, �� BUILDING PERMIT APPLICATION Existin Use of Building: �S ��C" �" Comtract Price of Work: $ Pro osed Use of Buildin : _�i��t "lF'Y Heat Source: ❑Gas �Electric ❑Other Buildin Type: I�SFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-# of Units: ❑Commercial ❑Industrial Type of Project: ❑New ❑Addition ❑Remodel '�2epair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF ORK: �'c,�=l�'4, r I� c�C��, ASSOCIATED BUILDING PERMIT # if a plicable : PLUMBING PERMIT APPLICATION Type of Project: _New Addn Alteration Repair Flxtures L/st of Fixtures Fixtu es List of Fixtures �oilet Backflow Preventer (lnside Bidg) E3athtub Urinai Lavatory (Wash Basin) Drinking Fountain :ihower Fioor Drain F<itchen Sink & Disposal Grease Trap [)ishwasher Roof Drains (,lothes Washer Medical Gas \Nater Heater Other: :iink (Service/Bar/Mop/etc.) Other: ACKNOWLEDGEMENT: I have reviewed this applrcation and con�rm the information contained herein is true and correct. Work done pursuant fo 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 I am authorrzed by the owner of this property to perform the work for which application is made, and I comply with the State Contractors Law 18.27 RCW and 296.200A WAC. J� nature � City of Everett Official Use Only P MIT # � ��o� - �� (Revised 5/20/2016)