2207 MCDOUGALL AVE 2017-03-03 - Laserfiche WebLink

PERMIT APPLICATION eillikellill://7-3- BUILDINU 1 MECHANICAL / 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 (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS; zz0 7 771,13 a-t-.-K,ua.. PROPERTY TAX#: 00-YQ/51/7&Ooao0 LEGAL for new construct on:: Snort Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: ANTHONY tiokri , TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET cQooO7 , '")' .,6614Ap1 au-e.., t p CITY `. 3IA,.I... W..9--.._ 71P 9U g 0 OWNER PHONE: 4,206 —8/9 — Q 9/. 3 OWNER EMAIL: N ., CONTRACTOR NAME COeAI R SSTDNE /2 3F/Ai6, INC. CONTRACTOR ADDRESS: STREET 17f((02Al /6-14-1, Ave--y-wee �', J.. #1Q/4 CITY rai77f EL.1_ STATE. 0,4- :'ll' 91c10/Q., CONTRACTOR PHONE: 1.25--1,86-_a//l CONTRACTOR EMAIL: ,/ y6e67 vE/200/47/Vek.CQr72 CONTRACTOR LICENSE#(REQUIRED: CORNER-4-0.1.1Q77 CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 03&5-, PRIMARY CONTACT: ❑OWNER g<ONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 6--_ ff5-0/l/ SA R4 GOP/V/6 Hi OFr/6E 0741 VAGFR2 CONTACT EMAIL:SARA&C.oRiv RgrtaevEiecji igvCczxfn BUILDING PERMIT APPLICATION Existing Use of Building: SiVi .{4:44-n. Aackstq' uS —ddetth � Contract Price of Work: $ o2(o/.OQ Proposed Use of Building; Heat" ' Heat Source: ❑Gas ❑Electric ❑Other Building Type: 128-.FR-Detached ❑SFR-Attached ODuplex ❑Multi-Family-ft of Units: ❑Commercial ❑Industria[ Type of Project ONew ❑Addition ❑Remodel (repair ❑T.I. DSign ❑Sprinkler [El Demolition ❑Change of Use RreOVE DESCRIPTION OF WORK: Re Got/Pic' 60(ICA—Cat) : 1 0.54-a.,2Q spas 17.ts>-► (9ve-t ,I2.41,4'6147)ej «ane (st- a/ CarrtV)i9KL 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 Fixtures List of Fixtures Fixtures List of Fixtures Fixtures List of Fixtures Fixtures List of 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 I 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 tarn authorized by the owner of this property to perform the work for which application is made, and I comply with the State Contractors Law 16 27 RCW and 296.200A WAC. City of Everett Official Use Only // zo/ �P c --- 00 9 Owner Authorized Agent Signature Late (Revised 5/20/2016)