3006 51ST PL SW 2017-03-10 - Laserfiche WebLink

04/21/2016 THU 10: 11 FAX 4252521666 CM Heating U003/003 iii01;rtenrPERMIT APPLICATII BUILDINIa i 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 I(E)everetteps@everettwa,gov I www.everettwa.gov/permits PROJECT SITE INFORMATION PROJECT SITE ADDRESS .;xrl 1/45-) r • /" Wt L. 5I , PROPERTY TAX#: LEGAL for new construction: Short PI2t/eubdivislon Lot No. (attach copy of Tong legal deecrlption) CONTACT INFORMATION OWNER NAMES f[.C,/0,,ocie PrC -9-i es TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET /QQ 5 36" ,5-1- 51e 261 11 CITYV4.4 e....' � . w STATEA TIP ��QDo OWNER PHONE:1725 903 SvOO (t #- /Y 40WFIE- EMAIL: • CONTRACTOR NAME: l I Ir) C CONTRACTOR ADDRESS: STREET )14 rs firodt.J(Axt- . CITY .ffietert STATE ,,,k..9 4 LIP 9-g 20 / CONTRACTOR PJIONE: 1-126 25 R 6)550 CONTRACTOR EMAILr b( fill, CA kahoQ, Co/1 CONTRACTOR LICENSE#(REQUIREDH D "t' )'3 5 R-T ) . CITY OF EVERETT BUSINESS LICENSE#(REQUIRED); 01009' PRIMARY CONTACT: ❑ OWNER CONTRACTOR ❑ OTHER (Please Specify) CONTACT NAME: f CONTACT PHONE: 1425 25-1 010 .tb CONTACT EMAI :BUILDING PERMIT APPLICATION Existing Use of Building: S FP-. Contract Price of Work: $ -,..: 1-/-'5'=4V__________ Proposed Use of Building: Heat Source: glias ❑Electric DOther BuildingT e: SFR-Detached ❑SFR-Attached ODuplex ❑Multi-Family-#of Units: CICommerclal ❑Industrial Type of Project: ❑New ❑Addition ❑Remodel $tepalr ❑T.I. ❑Sign ❑Sprinkler ❑Demolition °Change of Use DESCRIPTION OF WOR iae Q. RI S -iv rii-Cit,-.�� ASSOCIATED BUILDING PERMIT# (If applicable): MECHANICAL PERMIT APPLICATION • R !Ionnla,MNG PERMIT APPLICATION Type of Project: Now _ Addn Alteration _Repair Typo of Project: _New __Addn Alteration _Repair #of List of Fixtures #of #of Fixtures Fixtures List Of Fixtures #of List of Fixture& List of Fixtures Fixtures Fixtures NC-Air Handling Units Heal Pump Toilet Backflow Preventer(Inside Bldg) I Forced Air Systems Unit Heater Bathtub Urinal Gee Piping Boiler Lavatory(Wash Sasin) Drinking Fountain Water Heater Ftefrl®oration 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: : SPRINKL;R L.SUPPRESSI,ON.SYSTEM' Number of Heads - - ACKNOWLEDGEMENT:/have reviewed this application end confirm the Information contained herein Is true end correct. Work done pursuant to this permit must comply with current federal, stele, and local few. The granting of a permit only authorizes approved work end no dovietrons therefrom.Deviations must first be authorized in writing from the Building Official before being euthonzed under any circumstance.t em the owner,or I em authorized by the owner of this pm party to perform the work for which application Is made, end I comply with the State Contractors Law 19.27 RCW end 299.200A WAD, City of Everett Official Use Only PERMIT,# Ow r/Authorized Age trelenature �. Dale (Revised 10/122015)