2618 WALNUT ST 2017-03-13 - Laserfiche WebLink

PERMIT APPLICATION - BUILDING I MECHANICAL I PLUMBING I SIGN /SPRINKLER / DEMOLITION CITY OF EVERETT PERMIT SERVICES *.dtiV 3200 CEDAR STREET,EVERETT,WA 98201 (P)425-257-8810 I FAX 425-257-8857 1(E)everetteps@everettwa.gov 1 www.everettwa.gov/permits PROJECT SITE_INFORMATION :- ..: • . . PROJECT SITE ADDRESS:340\ 5,. w nLt PROPERTY TAX#: D,:::S i Sq Cc-r4(::::o(c)oa LEGAL for new construction: Short Plat/subdivision Lot No. -3 (attach copy of long legal description) :CONTACT INFORMATION OWNER NAME: J12 l -{ic 3{-c -7-0dl TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET ace`75 (�W�'nU-, c c� cn, 4ex \ STATE �L� (� ZIP _"l (�3 WNER PHONE: a5- �L �--S 0(� OWNER EMAIL: t' .S t^4 czv' ''rrn�1\ ,C-oM • CONTRACTOR NAME: -41)- � r^��v,I 0 WVl1Q� k' pONTRACTOR ADDRESS: // ReET \oari D'O`��c \ �, ,r „/l�yy��cTY 3A-&-\19. 3-m& . 3-m&S(r M+G STATE V _ ZIP CONTRACTOR PHONE: i - - -_ CONTRACTOR EMAIL:• 'rx.SCC:3-Yl5w c).C, • • CONTRACTOR LICENSE#(REQUIRED): """ ( c2 CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): • PRIMARY CONTACT:?WNER p,1-T �%I OK`\ 0 OTHER(Please Specify) ONTACT NAME: CONTACT PHONE: .4�;Gj — `Y'- -5-5 5 r5r _DC�"� `^�`'�5 CONTACT EMAIL: \. - �'� - . '- — BUILDING. PERMIT APPLICATION :: Existing Use of Building: Contract Price of Work:$ Proposed Use of Building: Heat Source: ❑Gas ❑Electric DOther Building Type: ❑SFR-Detached ❑SFR-Attached DDuplex ❑Multi-Family#of Units: ['Commercial ❑Industrial Type of Project: ❑New DAddition DRemodel DRepair ❑T.I. ❑Sign ❑Sprinkler ['Demolition ['Change of Use DESCRIPTION nF'"--b � Ji-- `)D Vic: 0 LiCrIC ASSOCIATED BUILDING PERMIT#(if applicable): ::MECHANICAL PERMIT APPLICATION;; PLUMBIN.G PERMIT APPLICATION ` Type of Project: ^New Addn _.Alteration Repair Type of Project: _New _Addn Alteration _Repair #of #of # #of List of Fixtures List of Fixtures List of Fixtures of List of Fixtures Fixtures Fixtures 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: :S,PRI,NKLER_/:;,SUPPRESSIONSYSTEM 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 &u , Si9ure L. ::.) ', i '''---C_ PERMIT# 2t 6 ��- �0I \ Date (Revised 10/92015)