8903 7TH AVE W 2017-04-10 - Laserfiche WebLink

� � � PERMIT APPLICATIO BUILDIN�VIECHANICAL / PLUMBING / SIG�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 ADDRESS: °"% '; �'1�! � LEGAL for new construction: Short Plat/subd PROJECT SITE INFORMATION � �^, �-��,-�' �.�. PROPERTY TAX #: No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: ^V1(� ? l� i";°� 4� � T�, ;' "� C� TENANT NAME (If Commercial): OWNER MAILING ADDRESS: sTaEET �� l�� ,�` �� '�'' / C-j y� '� (� CITY ��%�li�� STATE �'� ZIP ( lJ'-' OWNER PHONE: �'� � � �Z�� '� " � �. OWNER EMAIL: CONTRACTOR NAME: ��(�I,�' ^ ��',� ' `� CONTRACTOR ADDRESS: sTaeeT �2 )j� C,�` S� , I/'�f �`, CITY � C� ' G� � T� ��` 1�k STATE �,. v� ZIP� i�� .,� CONTRACTOR PHONE: �-�-,' l-� 1�` CONTRACTOR EMAIL: `.� (,r'� '`�IlL�(,,;:'L'�,�4/� -[��. CONTRACTOR LICENSE #(REQUIRED): � LU " � �i �j � � CITY OF EVERE7T BUSINESS LICENSE #(REQUIRED): �S � T G� `-� PRIMARY CONTACT: ❑ OWNER �CONTRACTOR ❑ OTHER (Please Specify) CONTACT NAME: CONTACT PHONE: ��= C� - �� - � � �� <' � " :� � ' „ '� ,+ ��r�,U✓� I � CONTACT EMAIL: `� GUV�✓� I� G1 S �i. �`' 'V �-� BUILDING PERMIT APPLICATION Existing Use of Building: Contract Price of Work: $ �-> � �� Proposed Use of Building: Heat Source: ❑Gas lectric I ❑Other Buildin T pe: ❑SFR-Detached SFR-Attached ❑Du lex ❑Multi-Famil -# of Units: ❑Commercial ❑Industrial � T e of Project: ❑New ❑Addition ❑Remodel ❑Re air ❑T.I. ❑Si n ❑S rinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: � --�� 1 �.�� -�'l.� �� .�%� �-- �`' �-� �v�, C'� l � � t L ;L � 1 ASSOCIATED BUILDING PERMIT #(if a licable): MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION Type of Project: New Addn Iteration Repair Type of Project: New Addn Alteration Repair # of List of Fixtures # of List of Fiutures #�f List of Fixiures # of List of Fixtures Fixtures Fixiures Fixtures Fixtures A/C - Air Handling Units Heat Pump Toilet Backflow Preventer (Inside Bldg) Forced Air S stems Unit Heater Bathtub Urinal Gas Pi ing Boiler Lavator (Wash Basin) Drinking Fountain Water Heater Refrigeration Shower Floor Drain Gas Fire lace Wood Stove Kitchen Sink & Dis osal Grease Trap Gas Ran e Ductin Dishwasher Roof Drains Clothes Dr er Hooku s Other: Clothes Washer Medical Gas Range Hood Water Heater Other: Exhaust Fan Sink (Service/Bar/Mo /etc.) Other: SPRINKLER / SUPPRESSION SYSTEM Number of Heads 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 first be authorized in writing from the Building Official before being authorized under any circumstance. 1 am the owner, or I am authorized 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. ��(Ll;� I� Date City of Everett OHicial Use Only PERMIT # � l � 0 .z � ,� (Revised 10/12/2015)