2327 ROCKEFELLER AVE 2017-05-17 - Laserfiche WebLink

PERMIT APPLICATION BUILDING / MECHANICAL / PLUMBING / SIGN / SPRINKLER/ DEMOLITION CITY OF EVERETT PERMIT SERVICES 4ZT7- 3200 CEDAR STREET, EVERETT,WA 98201 (P)425-257-8810 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: g ,� - �, yll PROPERTY TAX#: c ( J LCJkL{` LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: TLI J,-Y� a `it1✓1 TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET CITY STATE w{-' ZIP i OWNER PHONE: V(JL� `?� -ZSZ OWNER EMAIL: CONTRACTOR NAME, CONTRACTOR ADDRESS: STREET CITY STATE ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: CONTRACTOR LICENSE#(REQUIRED): CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): PRIMARY CONTACT: aOWNER ❑CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: rc (/(,y\"7-ty\ CONTACT EMAIL: BUILDING PERMIT APPLICATION Existing Use of Building: Contract Price of Work: $ S Proposed Use of Building: Heat Source: []Gas El Electric ❑Other Building Type: SFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units: ❑Commercial ❑Industrial Type of Project: ONew ❑Addition ❑Remodel ❑Repair ❑T.l. ❑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 _Alteration _R-9110d, Type of Project: _New _Addn _Alteration _Repai #of List of Fixtures #of Li of Fixtures #of List of Fixtures #of List of xtures Fixtures Fixtures Fixtures Fixtures A/C-Air Handling Units 4eat Pump Toilet Backflow eventer(Inside Bldg) Forced Air Systems Unit Heater Bathtub Urin Gas Piping Boiler Lavatory(Wash Basin) Inking Fountain Water Heater Refrigeration Shower Floor Drain Gas Fireplace Wood Stove Kitchen Sink&Disposal Grease Trap Gas Range Ducting Dishwasher Roof Drains Clothes Dr Zliookups Other: Clothes Washer,,,'- Medical Gas Range od Water Heat Other: Ex st Fan Sink(S ice/Bar/Mop/etc.) Other: SPRINKLER/ SUPPRESSION SYSTEM Number of Heads 77 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 compl the State Contract Law 18.27 RCW and 296,200A WAC. City of Everett Official Use Only o l PE #�W O 1�9-er/AulIzed gent gnature Date (Revised 5/20/2016)