4806 BAKER DR 2017-02-24 - Laserfiche WebLink

PERMIT APPLICATIO" BUILDINC,. ,MECHANICAL / PLUMBING / SIGN . =:'RINKLER / 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 (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: �d Qc kc r- D PROPERTY TAX#: LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: S ems(, / L r vi TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET 4' &c 1 e k— Dc CITY V � STATE t_—././�J/L ZIP 5gZ63 OWNER PHONE: //ZS-- - 3/ {/ OWNER EMAIL: 1Zv✓► Ske-rr,'( �7 ccA4,Gys4_. CONTRACTOR NAME: -- n l-• r}��r,x /hrc o t�c7 CONTRACTOR ADDRESS: STREET 4/33 2 (Vtc ✓yl t c„/ e---c: <ft (2� CITY k I •`-(-€(..) STATE e �,/ - ZIP CONTRACTOR PHONE: 4 Zc- �Z-t-333-c CONTRACTOR EMAIL: (rt3 L /�1 �7o+'n}� Il ti ,cU+ CONTRACTOR LICENSE#(REQUIRED): ,4-[„( Pop 'PC)1{ Q CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): PRIMARY CONTACT: 0 OWNER ( CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: ZS- -7 6-hms, L•� CONTACT EMAIL: Cl,tipt3 ,411(JOtYtl..gh.Cc,It-;r5.ceivvx BUILDING PERMIT APPLICATION Existing Use of Building: Sf i!`(� .�z,04,,(y re-S Contract Price of Work: $ Proposed Use of Building: CJ Heat Source: Ic7Uas ❑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: p\ � � ��L`_ Yl (NZAucy, 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 A/C-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 1 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 PERMIT# Owner/Authorized Agent Signature D to (Revised 9/23/2016)