2905 VICTOR PL 2017-03-06 - Laserfiche WebLink

PERMIT APPLICATIO BUILDING /MECHANICAL I PLUMBING /SIGN I SPRINKLER l DEMOLITION a:::4 . `444V - 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 PROJECT SITEINFORMATION PROJECT SITEADDRESS DR5 SS J i C fo 4- F) l LII&E y W,p ^PROPERTY TAX#:c `}ate 1 OC,'-)-3C.): 7cc LEGAL for new construction: Short Plat/subdivision �t/ 1 Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: 0, y GI e E. 61 r 017.1- TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET 19 0 5 V I C 10Y' 1 I C1 C e /� cITY E v e r' t STATE Vii A zip q g Q 0 1Y OWNER PHONE: L-f `2 S- Q O "._ Li? 7 2 OWNER EMAIL: CONTRACTOR NAME: c b" )II. CONTRACTOR ADDRESS: STREET .2.--Cr(n- `OCA3`)L (/�/JQd�'� - � l� Oil ZIP `L. e WY STATE CONTRACTOR PHONE: q'Z5 SZ5'S q 17i- CONTRACTOR EMAIL: CONTRACTOR LICENSE#(REQUIRED): CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): • PRIMARY CONTACT: 1g OWNER 0 CONTRACTOR ®OTHER(Please Specify) I .1 f e- . CONTACT NAME: /\1 f4/'./C y E , PAN i CONTACT PHONE: Lia 5-rZ 5 GI ( 7 L CONTACT EMAIL: BUILD1NG.PERMIT APPLICATION i � X1{1,,16 '/6 Contract Price of Work:$ I%(Y1 21'q�`� ?C.JLi• Existing Use of Bwldlnq: Proposed Use of Building: f 0 C--1124 (Heat Source: ❑Gas ❑Electric DOther (^ Building Type: IgSFR-Detached ❑SFR-Attached ❑Duplex DMulti-Family-#of Units: DCommercial ❑Industrial Type of Project: ❑New DAddition 6ftemodel DRepair ❑T,I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use /t`,�F DESCRIPTION OF WORK: 9 ,i�.-2 ` ,� elcit$f 46 6:311.01,21,5- .. 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 List of Fixtures #of List of Fixtures Fixtures List of Fixtures Fixtures List of 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 the State Contractors Law 18.27 RCAland296.200A WAG. City of Everett Official Use Only It PERMIT# r A, / (U /?l7 d ,!2, W f J �1 O '7Owner/Authorized40( Date (Revised 10/12/2015) be/ 15 1�1 1g'12 2.