705 CABOT RD 2017-04-10 - Laserfiche WebLink

PERMIT APPLICATIO BUILDING / 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 1(E)everetteps@everettwa.gov I www.everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: PROPERTY TAX#: LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME:ionfl7wrlTENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET 70 CITY STATE LOA i ZIP�g OWNER PHONE: -0J6 70 —495 OWNER EMAIL: CONTRACTOR NAME: l d CONTRACTOR ADDRESS: STREET O, ` TB a-75 CITY STATE ZIP CONTRACTOR PHON 40� CONTRACTOR EMAIL: SOLSieS& CONTRACTOR LICENSE#(REQUIRED): CITY OF EVERETT BUSINESS LICENSE#(REQUIR ): PRIMARY CONTACT: ❑OWNER JWCONTRACTOR ❑ OTHER(Please Specify) - 77-7-CONTACT NAME: CONTACT PHONE: yaC, 160 -S904 SC A14& CONTACT EMAIL: S t BUILDING PERMIT APPLICATION Existing Use of BuildingT: Contract Price of Work:$ Proposed Use of Building: I Heat Source: ❑Gas Electric ❑Other Building Type: &tSFR-Detached ❑SFR-Attached QDuplex ❑Multi-Family-#of Units: ❑Commercial ❑Industrial Type of Project: ❑New ❑Addition ❑Remodel EiRepair ❑T.I. ❑Sign []Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: ASSOCIATED BUILDING PERMIT#(if applicable): MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION Type of Project: _New _ Addn LAIteration _Repair Type of Project: _New _Addn _Alteration _Repair Fi#of List of Fixtures Fixtures List of Fixtures Fixtures List of Fixtures Fixtures List of 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 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: SPRINKLER/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.l am the owner,or I am authorized by the owner of this property to perform the work for which application is made, and l comply with the State Contractors Law 18.27 RCW and 296-200A WAC. P � MtTCityofEverett Official Use Only %i&UL 1 � � '1C) — 0 Ow a Autho Agent Signature Dae (Revised 9/23/2016)