2018 CHESTNUT ST 2017-03-02 - Laserfiche WebLink

OLTPERMIT APPLICATION BUILDING / MECHANICAL/ PLUMBING I SIGN /SPRINKLER I 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: ;2.Cite GA eFh a}- S ¢ PROPERTY TAX#: � ',U :6 72 L11202`l60 LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: COdi4L d be 1 -Fv e TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET 52-2 ( A/4(Ln c C k 4vc s>8-7 CITY '1/"e/'G k-,A/ STATE i� ZIP 7 O 2-o? OWNER PHONE: —7 is-- - kis' 3 OWNER EMAIL: clio c & /v[w A./or.f, .. h t-I -- CONTRACTOR NAME: (C)(,() )`- ' \ CONTRACTOR ADDRESS: STREET CITY STATE ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: CONTRACTOR LICENSE#(REQUIRED): CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): PRIMARY CONTACT: D OWNER 0 CONTRACTOR MOTHER(Please Specify) fri c-,1 CONTACT' � NAME: /I /J CONTACT PHONE: IZ,,5--3/ 5 - Zj 41c'7 1 i yh J L l . CONTACT EMAIL: •-+-t v,-t j,,..4'./1.4 @J44,1i.a6. CO 6"-t �,-v,„.. PERMIT APPLICATION Existing Use of Building: Ae5tdi.cvrh 4( Dwe.14,-5, Contract Price of Work:$ d `10,Cid(.) Proposed Use of Building: Sa,4k'1 I .51=g- Heat Source: OGas RElectric DOther Building Type: ❑SFR-Detached ❑SFR-Attached ❑Duplex DMulti-Family-#of Units: ❑Commercial ❑Industrial Type of Project: El New DAddition %Remodel DRepair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: (`vt,41,0 c r�4,1„,a,l1 4n S I vSa w+c i. . I el 5+4 l ( vLa( (As I Adr,ara yte wI f! ,--<>4 1) PI--J ,-i-y ‘i-cf e I..(..-Pie�wl t a�,, �o�« `Ls / e 'i d Eg4A4 Aig.i4-9 L.AU0SRV n9t,ikt A"is)o 2 0A'coPvhfr. IN Fix,ISYi x 04,,,.S . 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 3 Toilet Backflow Preventer(Inside Bldg) Forced Air Systems Unit Heater 22 Bathtub Urinal Gas Piping Boiler 11 Lavatory(Wash Basin) Drinking Fountain t Water Heater I Refrigeration Shower Floor Drain Gas Fireplace Wood Stove j Kitchen Sink&Disposal Grease Trap Gas Range Ducting 1, Dishwasher Roof Drains i Clothes Dryer Hookups Other: I Clothes Washer Medical Gas I Range Hood I Other: 50,1410 Pump it 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!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 1 ,/` PERMIT� IT 1 Owner/Authorized Agent Signature Date (Revised 10/12/2015) 1-2_