2411 RAINIER AVE 2017-04-07 - Laserfiche WebLink

4rErr PERMIT APPLICATION BUILDING IECHANICAL / PLUMBING / SIGIC' -RINKLER/ DEMOLITION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT,WA 98201 (P)425-257-8810 I FAX 425-257-8857 I(E)everetteps@everettwa.gov I www.everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: L.t ai A 410,1 ter ./4%) ._ PROPERTY TAX#: LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: e_11 cr 1 C GS vbew s Sen TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET Zi/Il Ka,in as r Av.i t CITY I',V t re-it STATE VI/ A ZIP 1 3 2_0 1 (21..)OWNER PHONE: C. ) —7`7 9 - 'I C 1 ( OWNER EMAIL: — CONTRACTOR NAME: Es_Kt- is 0#1 C^S Tr.wC,4n.es. 1::"L CONTRACTOR ADDRESS: STREET �,7 (071-1.- S i- N a 4 CITY IM,/�(� J,,,i tit- STATE A ZIP / 8 23 / CONTRACTOR PHONE: 112-S3 SA Co LJD 22 CONTRACTOR EMAIL: ,7y% C CO a 54 t V 41„ lW-Cr...„-11 t , Com CONTRACTOR LICENSE#(REQUIRED): E.� Q..‹. 117 s 'fie CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): O Si 'C.V.,/ PRIMARY CONTACT: ❑ OWNER CONTRACTOR ❑ OTHER(Please Specify) CONTACT NAME:. �C CONTACT PHONE: LL'Z.c s m c a Z2 A."1 1`^CV..tr–s e n CONTACT EMAIL: /►n o ^ –71 t_i,iv-%. BUILDING PERMIT APPLICATION Existing Use of Building:&CS i kC/1j �1 Sin4 c, rr .t`� Contract Price of Work:$ -Z7) v(–)0Proposed Use of Building: 1\C ,,'\-f:.1-,, Sin,. 1t Fwr..ty Heat Source: ❑Gas 4Electric DOther Building Type: FR-Detached SFR-Attached ❑Duplex /❑Multi-Family-#of Units: ❑Commercial ❑Industrial Type of Project: ONew ,ddition ❑Remodel ❑Repair DTA. DSign ❑Sprinkler El Demolition ❑Change of Use DESCRIPTION OF WORK: A _s,, o f /ILL.,, 6CtlC:vo'IN<2.PQroiC. 139 s=4.. t( 1 fo, p1,,-L,^1 $.•1v.,l>e�l a n., "It-LINA"NI 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 #of #of 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/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 PERMIT# . Owner/ uthorized Agent Signature Date (Revised 5/20/2016) I2::