4822 FOWLER AVE 2017-05-23 - Laserfiche WebLink

PERMIT APPLICATION BUILDING ) I ECHANICAL / PLUMBING / SIGN / SPRINKLER / DEMOLITION CITY OF EVERETT PERMIT SERVICES OL 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 PROJECT SITE INFORMATION PROJECT SITE ADDRESS: 4822 Fowler Ave PROPERTY TAX#: 29053100300300 LEGAL for new constriction: Short Plat/subdivision -.Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: Tarah YoLinger / Michael Sousa TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET 4822 Fowler Ave CITY Everett STATE WA zip 98203 OWNER PHONE: 425-236-1696 OWNER EMAIL: CONTRACTOR NAME: Greater Seattle Construction CONTRACTOR ADDRESS: STREET 17820 130th Avenue Nordwast CITY Woodinville STATE WA ZIP 98072 CONTRACTOR PHONE: 425 949-5601 CONTRACTOR EMAIL: corey((±)greatersc.com CONTRACTOR LICENSE#(REQUIRED): GRL'ATSC)881 M R CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): PRIMARY CONTACT: ❑OWNER ❑CONTRACTOR M OTHER(Please Specify) -ngineer CONTACT NAME: CONTACT PHONE: 253-833-5557 Jesse Binford CONTACT EMAIL: jbinford@bde.net BUILDING PERMIT APPLICATION Existing Use of Building: SI1R lContract Price of Work: $ TBD Proposed Use of Building: SITZ Heat Source: []Gas ❑Electric ❑Other Building Type: EISFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units: ❑Commercial ❑Industrial Type of Project: ❑New ❑Addition ❑Remodel ❑Re air ❑T.l. ❑Sign ❑Sprinkler ❑Demolition ❑Chan e of Use DESCRIPTION OF WORK: damage inspection of SPR that was hit by a tree ASSOCIATED BUILDING PERMIT#(if applicable): MECHANICAL PERMIT APPLICATION n/a PLUMBING PERMIT APPLICATION 1-1/a Type of Project: _New _ Addn _Alteration _Repair Type of Project: _New _Addn _Alteration _Repair #of List of Fixtures #of List of Fixtures #of List of Fixtures #of List of Fixtures Fixtures 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 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.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. /am the owner,or 1 am authorized by the owner of this property to perforin the work for which application is made, and I comply with the State Contractors Law 18.27 RCW and 296.200A WAC. City of Everett Official Use Only PERMIT JCSSC IItYfOYIYE 12-30-15 1 Owner/Authorized Agent Signature Date (Revised 10/12/2015)