2025 WETMORE AVE 2017-01-18 - Laserfiche WebLink

03/03/2016 THU 12: 16 FAX 4252521666 CM Heating IL002/004 4177 PERMIT APPLICATIO BUILDINU I MECHANICAL / PLUMBING / SIGN / SPRINKLER/ DEMOLITION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT,WA 88201 (P)425-257-8810 I FAX 425-257-8857 I(E)evereltepeOevereltwa.gov i www,everettwa.gov/permits ' ' ' PROJECT'SITEINFORMATION' .. • PROJECT SITE ADDRESS;0 Do I ,l ry.10 n V` Re a I�• PROPERTY TAX#: LEGAL for new construction: Short Plot/subdivision f'l Lot No. (attach copy of long legal description) ` 'CONTACT INFORMATION ' • ' OWNER NAME: L S-pabv TENANT NAME (If Commercial): OWNER MAILING ADDRESS: STREET A 0 ej VI 0 Re ave CITY A STATE Wirf ZIP 01?)Po � OWNER PHONE: Q -1 Qq 116 9, IOWNER EMAIL: • CONTRACTOR NAME; C4 1 1 VI e T) N G- CONTRACTOR ADDRESS: STREET lues BR 0 ad W aq /ny �/}' CITY ` STATE orf I ZIP C Ve.0_0 I CONTRACTOR PHONE:1 c Os-(3, CONTRACTOR EMAIL:riU ed '1 0 gym - n 9 r co rn CONTRACTOR LICENSE#(REQUIRED): f;(� � 7-1d CITY OF EVERETT BUSINESS LICENSE:#(REQUIRED): ) ,I q 2) PRIMARY CONTACT: 0 OWNER A CONTRACTOR 0 OTHER(Please Specify) CONTACTppNAME: �j � CONTACT PHONE: 1.4z �.iJel O550nlegA�; LM-hCfr fl eA 1°6- CONTACT EMAIL.: ` tsaC Chet r WV'�fg r co in �1 BUILDING•PERMIT APPLICATION . •, Existing Use of Building: Contract Price of Work: $ I 1 (5 0 • tJ O Proposed Use of Building: Heat Source: AGes ❑Electric ❑Other_ Building Type: ❑SFR-Detached itSFk-Attached ❑Duplex ❑Multi-Family-#of Units: ❑Commercial ❑Industrial Type of Project; ❑New plAddltIon L(Remodel ❑Repair ❑T I, ❑sign ❑Sprinkler ❑ emD olltlon ❑Change of Use DESCRIPTION OF WORK: InS C4 0-4_&S Its pump S Qi-ern ASSOCIATED BUILDING PERMIT#(If applicable); ,. : 'MECHANI¢AL' PERMIT'APPLICATION ' '''PLU,MB.ING,PERMIT APPI4$CATION Type of Project: New &_, Addn _Alteration _Repair Type of Protect; New _Addn _4Alteration _Repair #of List of Fixtures #of Fixtures Fixtures L/at of Fixtures Fixtures List of Fixtures Fixtures 1/tt of Fixtures NC-Alr Handling Units 1 Heat Pump Toilet Backflow Pre-venter(Inside Bldg) Forced Alr Systems Unit Heater Bathtub Urinal - Gas Piping Boiler _ Lavatory(Wash Basin) Drinking Pountain Water Heater Refrigeration Shower Floor Drain Gas Fireplace Wood StoveKitchen Sink&Disposal Grease Trap Gas Range Ducting Dishwasher Roof Drains Clothes Dryer Hookups Other: Clothes Washer Medical Gas Range Hood Water Heater Other: Exhaust Fan Sink(ServIce/Bar/Mop/etc,) Other: `,:. .SPRJINICLER:/'`$OPPRESSION S_SYSTEM Number of Heads ACKNOWLEDGEMENT:I have reviewed rh/s application and confirm the Information contained herein is true end correct. Work done pursuant to this permit must comply with current federal, state,and focal 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 perforin the work for which application is made, and I comply with the State Contractors Law 18.27 ROW and 296.200A WAC. City of Everett official Use Only _V I�a Re it 3 !r, . PERMIT /1 I I ',' y� Owns 10/1212010)W� b lK r/Authorized Agent Signature Dat (Revised 10/12120103