1515 BAKER AVE B 2017-04-19 - Laserfiche WebLink

PERMIT APPLICA11 ION BUILDING / MECHANICAL/ PLUMBING / SIGN /SPRINKLER/ DEMOLITION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT,WA 98201 OL (P)425-257-8810 1 FAX 425-257-8857 1(E)everetteps@everettwa.gov I www,everettwa.gov/permits "PROJECT SITE"INFORMATION PROJECT SITE ADDRESS: PROPERTY TAX#: b5 — 3-0 LEGAL for new construction: Short PlaUsubdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION 4 OWNER NAME: -EII.L TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET lip, uC 75.8 5T CIN STATE ZIP OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME: CONTRACTOR ADDRESS: STREET' CITY STATELQA- ZIP CONTRACTOR PHONE: 4 �' ( CONTRACTOR EMAIL: CONTRACTOR LICENSE#(REQUIRED): CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): PRIMARY CONTACT: ❑OWNER ❑ CONTRACTOR THER(Please Specify) CONTACT NAME: CONTACT PHONE: 05S-9137 CONTACT EMAIL: k BUILDING PERMIT APPLICATION Existing Use of Building: Contract Price of Work:$ C Proposed Use of Building: Heat Source: []Gas Alectric ❑Other Building Type: SFR-Detached ❑SFR-Attached []Duplex ❑Multi-Family-#of Units: ❑Commercial ❑Industrial Type of Project: ❑New ❑Addition ❑Remodel epair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition []Change of Use DESCRIPTION OF WORK: f-1 icF- plot4a "TZS T)"004q� ZkFi'--`RW C.S� Fk'.' .ti- 5"o-z S&Vrj OP, Mkt WAtL- -R> 1A)C4.N`EtOHE 4CEZ INs` 4u-. A*44-5 ? CAIS 7(-814:7A,�,:,�7�BF ASSOCIATED BUILDING PERMIT#(if applicable): c:� MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION Type of Project: _New Addn _Alteration _Repai Type of Project:, New _Addn _Alteration _Repair #of List of Fixtures #of Li of Fixtures #of List of Fixtures #of List o tures Fixtures Fixtures Fixtures Fixtures A/C—Air Handling Units Heat Pump Toilet Breventer(Inside Bldg) Forced Air Systems Unit Heater Bathtub al Gas Piping Boiler Lavatory(Wash Basin) Drinking Fountain Water Heater Refrigeration Shower Floor Drain Gas Fireplacez Wood Stove Kitchen Sink&Dispos Grease Trap Gas Range Ducting Dishwasher Roof Drains Clothes ryer Hookups Other: Clothes Was_W Medical Gas Ran Hood Water H er Other: Ephaust Fan Sink ervice/Bar/Mop/etc.) Other: PRINKI ER/SUPPRESSION SYSTEM Number of Heads ACKNOWLEDGEMENT.l 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 co m ly with the State Contractors Law 18.27 RCW and 296.200A WAC. City of Everett Official Use Only PERMIT# i d ignature Da (Revised 10/12/2015)