601 LAUREL DR 2017-03-03 - Laserfiche WebLink

477- PERMIT APPLICATION BUILDIN( IECHANICAL/ PLUMBING / SIGN '1RINKLER/ 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 (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: pO/ Z.,aurel Dr✓ti CtAere it t r,,0 PROPERTY TAX#:005000000 200 LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) J CONTACT INFORMATION OWNER NAME: L )�C� T+//•CE TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET‘O/ Laurel l ri d� CITY Fver''G'ft- STATE .:.;,4)0,4 ZIP F,H2O J OWNER PHONE: 4/25 A2igi ZZ3 p OWNER EMAIL: Mil/cr...—win ig hot1' ,co'l CONTRACTOR NAME: CONTRACTOR ADDRESS: STREET •(1X CITY STATE ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: CONTRACTOR LICENSEE#(REQUIRED): CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): PRIMARY CONTACT: ieOWNER 0 CONTRACTOR ❑ OTHER(Please Specify) CONTACT NAME: La /rd "miler CONTACT PHONE: � `r ,n_ . ._ .. - 223 0 CONTACT EMAIL: /� BUILDING PERMIT APPLICATION Existing Use of Building: KCS i'cle#AC e Contract Price of Work:$ t5o U Proposed Use of Building: ReSi dr'$ eHeat Source: [was 0 Electric ❑Other Building Type: ❑SFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units: ❑Commercial ❑Industrial Type of Project: 1:1 New QAddition El Remodel 126Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTIONF WORK: _ ke,titoVe Genre-nt l'oRcd to !•e,'a%/"' Rim .ois1 6t*der /src4 — Rep4ce old /'otc4 4.0;41, dec.) "64c it geriocc. Cemeol)' s�4/k'�SiE%,(S enc lkdl�i 'o�iwc/k,.vay ova' ,e jkr o��x� to s:d�wa/k, 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 I am authorized by the owner of this property to perform the work for which application is made, and I comply with e 't to Contractors La 8.27 RCW and 296.200A WAC. I City/� of Everett Official Use Only 77//��; PERM lk o1 1(.)0 Owner/A orized Agent Signature Date (Revised 5/20/2016) V