509 93RD ST SW 2017-03-13 - Laserfiche WebLink

0S/09/201b 08: 57 4254820330 BETA COMMERCIAL PAGE 02/03 PERMIT APPLIC.A,TIC . "OW • • .--- BUILDI T IECHANICAIL / PLUMiBING / SIGI,I UPRINKLER/ DEMOLITION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET,EVERETT,WA 98201 (P)425257-8810 I FAX 425-257-8857 I(P)everottopsQovorcttwa.gov I wwW-everettwa.gov/permits t40. r.W ack It;1k,. riisy PRS se+) ., . PROJECT.SrTE'INIFOR1P ATJO PROJECT SITE ADDRESS: 5,0cA o Sl-. S PROPERTY TAX*: LEGAL for new construction: Short Piet/subdivislon Lot No. (attach copy of long legal description) CONT ►CT IN1FORMATION OWNER NAME: -r-f'd P tv V C TENANT NAME(If Commercial): OWNER MAILING ADDRESS: MEET G✓Vj`a/9 ��Y U 3 . ' ,VLA-3 . CITY - � y t t . SSTATE1Pf`,r C ZIP ga�JU�y OWNER PI PONE: 'c .-�Ct ". 7j L.Q.Le 1-0-1/1/NER,EMAIL;,.., CONTRACTOR NAME; o w Y' - ` CONTRACTOR ADDRESS: sTPFET '0 OCA• e"1-.5v' —� CITY . ` —e- STATE 1 of ZIP ' t O LI CONTRACTOR PHONE: .clIn CONTRACTOR EMAIL: CAALG..c-Yecid • kCk a e'. . . _*. ib CONTRACTOR LICENSE#(REQUIRED); CITY OF EVERETT EUSINEss LICENSE#(RirQU D) .. PRIMARY CONTACT: OWNER ❑ CONTRACTOR ❑ OTHER(Please Specify) -. - - - CONTACT NAME: CONTACT PHONE; l � '2 d.. � - cI 7 b C- ii �r�n CONTACT EMAIL: l BUiLB NG PEM'tMiT.,APPI (CATION ." �. Existin; Use of Building Contract Price of Work:$ r trb �__ Proposed Use of Building: Heat Source: ❑Gas ❑Electric El Other Building Type: (•SFR-Detached ❑SFR Attached ❑Duplex 0Multl-Famliy4 of Units:_ II Commercial ❑Industrial Type of Project: 0New DAddition al Remodel ❑Reyair ❑T,l, Ci Sign ❑Sprinkler ❑Demoliti.n OChange of Use DESC121PTiON or WORK: v..._l�Cr\(\_c,r Env %pc&Vkk-C)Olr- - rt y cid` , Y u9 dloc\-'1 klA.b Ua 0 i- k- I `'14\VO ASSOCIATED BUILDING PERMIT 1 (if applicable): ( CaA0 n1`4 MECI:i,A,rOAL OE12MIT APPLICATION . f . • PLUMBING PEI N11.. ..400o.o `ION . , Typo of Project New Addn __Alteration Repair Type of Project: ✓New _Add _,Alteration Repair Flxturos List of Fixtures Fixturfks List of Fixtures di of List of Fixtures of List of Fixtures Fixtures Fixtur.s A/C—Air Handling Units Heat pump I Toilet Backflow Prevontor(Inside Bldg) Forced Air Systems Unit Heater I Bathtub Urinal Gas Piping Boller Lavatory(Wash Basin) Drinking Fountain Water Heater Refrigeration I Shower Floor Drain • Gas Fireplace Wood Stove % Kitchen Sink&Disposal Grease Trap Gas Range _ r Ducting ( Dishwasher Roof Drains Clothes Dryer Hookups Other: Clothes Washer Medical Gas Range Hood Water Heater •Other; .. Exhaust Fan Sink(Service/Ear/Mo./etc. •Other: . SP ,4 SPPR��I. SX ( I . . .. . .. .. .. U . . , !Number of Heads -, ACKNOWL E/JGF-MErJT/have reviewed this application and confirm the information contained heroin is true end correct, Work done p recent to this permit must comply with current federal,state,end local law, The granting of o permit only authorises approved work and no deviations therefrom.Deviations must first be authorized in writing from the Building Official before being authorized under any circumstance.I ern the owner,or I em authorized by the owner of this properly to perform the work for which application is made, and!comply will?the State Contracture Law 18.27 ROW and 285.200A WhO. City of Everett Official Use Only ail& 7�_ LIL, C, 1 , Ill Owner •Lithe . '.'t -. 4 . �" Date (Revised 5/20/2010)