4909 CHINOOK DR 2017-05-23 - Laserfiche WebLink

PERMIT APPLICATION 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 (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: '4602 U f f 000�L Dr. PROPERTY TAX#:00® y D 0`6I 0 LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: I TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET 7 ' h r,7C Dk CITY 6v,-,re STATE W 4 ZIP � o3 OWNER PHONE: �G'(+' 'is IS-S OWNER EMAIL: CONTRACTOR NAME: LiLal w Q /LCi � d r' (Cv 'c 1"J,tic 11 r1. CONTRACTOR ADDRESS: STREET C (P CITY L C STATE ZIP V-s CONTRACTOR PHONE: J -CL CONTRACTOR EMAIL: CONTRACTOR LICENSE#(REQUIRED): �/ v' �F1�1 kt C L-t i CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): O' PRIMARY CONTACT: ❑OWNER CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: / n ` CONTACT PHONE: 391-640(2 CONTACT EMAIL: ' BUILDING PERMIT APPLICATION Existing Use of Building: Contract Price of Work:$ C71 Proposed Use of Building: Heat Source: tdGas []Electric []Other Building Type: FR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units: ❑Commercial ❑Industrial Type of Project: ❑New ❑Addition []Remodel Repair ❑T.I. []Sign ❑Sprinklerr' ❑Demolition ❑Chan a of Use DESCRIPTION OF WORK: 9,e q l�lLIF OI IZ ri� j 1�(JL"/n 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 #of o Fixtures List of Fixtures Fixtures List of Fixtures #of # f List of Fixtures List of 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 Shower Floor Drain Gas Fireplace Wood Stove lKitchen Sink&Disposal lGrease Trap Gas Rancle Ducting IDishwasher 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 Chemical or Water I I No. 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 lo ca law, The granting of a perm only authorizes approved work and no deviations therefrom.Deviations must first be authorized in writing from the Building Official before beingauthori d unde circu sta e.I am the owner,or l am authorized by the owner of this property to perform the work for which application is made, and Peo ply with the SrContractrs La18.2 C an>196.200A WAC. City of Everett Official Use Only PERMIT#r Owner/ thorize A nt S Date / (Revised 9/23/2016) l vJ