2807 PACIFIC AVE 2018-01-22 - Laserfiche WebLink

OLTI, PERMIT APPLICATION BUILDING i MECHANICAL/ PLUMBING / SIGN / SPRINKLER / DEMOLITION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET,EVERETT,WA 98201 (P)425-257-8810 1 FAX 425-257-8857 1(E)everetteps@everettwa.gov 1 www.everettwa.gov/permits 2c607-4- PROJECT SITE INFORMATION PROJECT SITE ADDRESS: PROPERTY TAX#: • ;.c.C.a fflurzi.c__ (r.-.)E- LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: 2-00/ , TENANT NAME(If Commercial): j-T t Es ze�� OWNER MAILING ADDRESS: STREET y (� ' f (Fly 7 j� CITY 1-�V `'�� ` STATE tk zip 98 t l OWNER PHONE: OWNER EMAIL: . ... CONTRACTORNAME:PrycrFIL SA-( C. � �C-" 1 .tJ T& �S `- C, G7 CONTRACTOR ADDRESS: STREET 1 ci Z` e_DMb1� v R 4 L/ F- ( 2- CITY Dtv o%J S STATE - !p ZIP el tp0 Z-U CONTRACTOR PHONE: 2i ' L4 e 35 (1 i c47 f CONTRACTOR EMAIL:pc, . c&cjr� Q__v C -i%r-� Q. MSA. L t� CONTRACTOR LICENSE#(REQUIRED):(I--SE t b c t_ CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): A PRIMARY CONTACT: 0 OWNER IR-CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 'Z_Ob-- 9114: - 3C I j r. A 12__t-- CONTACT EMAIL: BUILDING PERMIT APPLICATION Existing Use of Building: Contract Price of Work:$ )'-' Proposed Use of Building: Heat Source: ❑Gas 0 Electric DOther Building Type: ❑SFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units: ❑Commercial ❑Industrial Type of Project: ❑New ❑Addition DRemodel ❑Repair ❑T.I. .Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: ' �� isse-_--,,k,5 1-i . ' C:-,- .5-1 4. A E- 11.-- -`. Tinct—k-- ►v 47._.-1-'' ASSOCIATED BUILDING PERMIT#(if applicable): MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION Type of Project: _New Addn _Alteration _Repair Type of Project: _New _Addn _Alteration _Repair #of List of Fixtures #of List of Fixtures #of List of Fixtures #of List of Fixtures Fixtures Fixtures Fixtures Fixtures NC-Air Handling Units Heat Pump Toilet _ Backflow Preventer(Inside Bldg) Forced Air Systems Unit Heater Bathtub _ - Urinal Gas Piping Boiler Lavatory(Wash Basin) Drinking Fountain Water Heater Refrigeration Shower Floor Drain Gas Fireplace Wood Stove Kitchen Sink&Disposal Grease Trap Gas Range Ducting Dishwasher Roof Drains Clothes Dryer Hookups Other: Clothes Washer Medical Gas Range Hood Water Heater Other: Exhaust Fan Sink(Service/Bar/Mop/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.I 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. City of Everett Official Use Only \ r PERMIT#S)I Owner/Authorized Agent Signature Date (Revised 10/12/2015)