2018 CHESTNUT ST 2017-03-02 - Laserfiche WebLink

PERMIT APPLICATION BUILDING / MECHANICAL/ PLUMBING / SIGN /SPRINKLER/ DEMOLITION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET,EVERETT,WA 98201 (P)425-257-8810 I FAX 425-257-8857 1(E)everetteps@everettwa.gov I www.everettwa.gov/permits PROJECT SITE INFORMATION PROJECT SITE ADDRESS:I.fXe e,'1 ,r S ; PROPERTY TAX#: LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) ) CONTACT INFORMATION OWNER NAME: 0„,,i, ki L.e Met rrr.% TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET cZ3-I NAct:., •CGIc rQv CITY t/Q:L.-T STATE CA-14 ZIP 98 3 OWNER PHONE: `"J 15---- g' - G 1 i'3 OWNER EMAIL: CONTRACTOR NAME: O/VIAti/ CONTRACTOR ADDRESS: STREET CITY STATE ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: CONTRACTOR LICENSE#(REQUIRED): CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): PRIMARY CONTACT: ❑OWNER ❑CONTRACTOR rXOTHER(Please Specify) Fr/ -en CONTACT NAME: /J CONTACT PHONE: 2-3-- 3 !S_ 3 q c r' 1 t L'N (ccf Y,it CONTACT EMAIL: 1-f n-1`' k,.,1-",-1 cc�t i ci.d cr:s. C w} BUILDING PERMIT APPLICATIONelk r Existing Use of Building: ( C)i,(,,1 Fe i'I /14/4- 64-1>y Contract Price of Work:$ 45600 Proposed Use of Building: S .,ii i' Heat Source: ❑Gas IPElectric DOther Building Type: DSFR-Detached DSFR-Attached ❑Duplex ❑Multi-Family-#of Units: DCommercial ❑Industrial Type of Project: ❑New DAddition DRemodel ❑Repair DT.I. OSign ❑Sprinkler ❑Demolition DChange of Use DESCRIPTION OF WORK: C 1 etc., ;; \ f a`i(t re rde. Wi '"5 tc),- + / F* 54r�' / y r, 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 #of List of Fixtures List of Fixtures #°f List of Fixtures #°f 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 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 - �� I ' PERMIT#6 1 , j [ b 0 I Doi_ /(/ w Owner/Authorized Agent Signature ( Date (Revised 10/12/2015)