1505 INDUSTRY ST 2019-07-17 - Laserfiche WebLink

PERMIT APPLICATION BUILDING ) MECHANICAL I 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 I www.everettwa.gov/permits (Blois Or Black Ink Only Please)': PROJECT:SITE INFORMATION PROJECT SITE ADDRESS: � PROPERTY TAX#: 24 LEGAL for new construe ion)"�9hdr t�t Platfs o l��c1 on _ .__. Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: TENANT NAME//(If Commercial): c OWNER MAILING ADDRESS: sTREE CITY STATE a-04 ZIP 9ta OWNER PHONE: OWNER EMAIL: ;CONTRACTOR NAME: TNF 6-1VUITS � � Z 611100 lP, GLC- CONTRACTOR ADDRESS: STREET /$1- S T, CITY S �� STATE�� ZIP CONTRACTOR PHONE: 9-43. ��'. `�'FjJr CONTRACTOR EMAIL: 75E7UC3�f��E )ZSC-t�P �d CONTRACTOR LICENSE#(REQUIRED):C)FtJL7XE14 118 1 OE I CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): &7-1-7q- } PRIMARY CONTACT: ❑ OWNER LSI CONTRACTOR ❑ OTHER(Please Specify) CONTACT NAME:AD>RI�Qp56�[�E'REI CONTACT PHONE: �V , g'ZS •Z�2 CONTACT EMAIL: (ZC7SE4]j3 � Ga BUILDING PERMIT APPLICATION Existing Use of Building: Contract Price of Work:$ 460 Proposed Use of Building: - Heat Source: []Gas ❑Electric ❑Other _ Building Type: ❑SFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units: ❑Commercial Widustrial Type of Project: ❑New ❑Addition ❑Remodel ❑Repair T,I, ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: '(LeplacL OL -Jovrte-CA- CbGM ih e.tI&O CV-t-Mt&.0 Qy0f4dt WXAA;� Se-G cvfuw,v.' �k ASSOCIATED BUILDING PERMIT#(if applicable): L21PI MECHANICALPERMIT APPLICATION PLUMBING PERMIT APPLICATION Type of Project_ —New Addn _Alteration _Repair Type of Project: —New —Addn ,Alteration Repair #of #of #of #of Fixtures List of Fixtures Fixtures List of Fixtures Fixtures List of Fixtures List of Fixtures Fixtures AIC-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 ACKNOWi.FDGFMFNT.1 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 f am authorized by the owner of this property to perform the work for which application is mad, and 1 comply ith the State Contractors Law 18.27 RCW and 296.200A WAC. Z City of Everett Official Use Only PERMIT# ' l1 ?9 I1o0(o OwnerlAuthorized Agent Signature Date (Revised 5/20/2016)