108 76TH ST SW 2017-03-13 - Laserfiche WebLink

j1ETT BUILDING t MECHANICAL / PLUMBING / SIGN / Q°RINKLER/ DEMOLITION CITY OF EVERETT PERMIT SERVICE: :: 3200 CEDAR STREET, EVERETT,WA 9ocu i (P)425-257-8810 1 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: ° ' ' t_:, - 7 6. h" 44, `i LU 6.---i.;eP V (NA t1(>Z42;PROPERTY TAX#: LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: -x.17 4- On „),A i--tA C.i, TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET�i` C1 -1 5 - S i.V CITY Ci j/e /r"4.4 STATE COLI ZIP (IC{k2.-03 OWNER PHONE: 7 S--- Z ct ri - S 5. 0 OWNER EMAIL: J IA, elk/"7 C_R 4 Y Et_) O-{iT ,4/1/3-/ L , CA. Al .1 CONTRACTOR NAME, G A Lt; IL (� r., : ,el . f,,- (r-c a - ,I, ik C._.CONTRACTOR ADDRESS: STREET ( G Z 7 - ZO 3 t'► 5 i1 , se': CITY e,4-4,11 STATE (Vick, ZIP C(6 O' 2 CONTRACTOR PHONE: ZS-_'1 '? b"_ b 5-01-2__ .CONTRACTOR EMAIL: (_),5c,,,6. 6 a Lr pf i 1 11,Lk,1 iUf y r- u f,, cc.4 CONTRACTOR LICENSE#(REQUIRED):C C IV (-.CEI' .. 12- /kJ:F. CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 05-3, / Li 1 PRIMARY CONTACT: 0 OWNER %CONTRACTOR 0 OTHER (Please Specify) CONTACT NAME: a CONTACT PHONE: LIZ 7 _-7 --/ 0 _- C -c"11 . �� ,fcil ilk rl(lt'\ !` I CONTACT EMAIL: CGlSLi-+(o ti,PtCvl1/ 6,L, iRt:'yr/'`vu- ."i.' .1/ BUILDING PERMIT APPLICATION Existing Use of Building: 5. ( A Contract Price of Work: $ 006r Proposed Use of Building: S n� Heat Source: , 1Gas DElectric ❑Other YfJS Building Type: ❑SFR-Detached FR-Attached ❑Duplex ❑Multi-Family-#of Units: ❑Commercial 0 Industrial Type of Project: ❑New ❑Addition ❑Remodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition DChange of Use DESCRIPTION OF WORK:Mei }(c/� 0 be}M at-47 l�oC 6 'LO V'tAGI de fi le_. 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 List of Fixtures #of List of Fixtures #of List of Fixtures #of List of Fixtures Fixtures 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 N 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 Z h i..t .'0,,i(.1r,/ 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 ‘- -7PERMIT#