7200 HARDESON RD 2017-05-24 - Laserfiche WebLink

PERMIT APPLICATION- 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 PROJECT SITE INFORMATION PROJECT SITE ADDRESS: PROPERTY TAX#: //,, ZOO HARD 36 t.( V W q R62.o3 4 1100/0/5o0 LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: AV-ArnAe2 -- UtJt'Fbf Xn 5t;2ViCI TENANT NAME(If Commercial): APAMAV-k -AW'jFo¢on+C4aggk OWNER MAILING ADDRESS: STREET 2p0 H%0,VVE150t.A CITY STATE ZIP gsZ63 OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME: }AC>L4Yl 13CU CONTRACTOR ADDRESS: STREET l t Z8 15�1'^ CITY tC',f2-K-t.AtJD STATE V.Jk} ZIP 980 CONTRACTOR PHONE: CONTRACTOR EMAIL: (�P t4C)L-m8eJacrc_0 . e CONTRACTOR LICENSE#(REQUIRED): yAOG r\OC O(o(o MC- CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): ()-5(O O 3 PRIMARY CONTACT: ❑ OWNER J9CONTRACTOR ❑ OTHER(Please Specify) CONTACT NAIVE: CONTACT PHONE: G�?-F-Gr FO>< CONTACT EMAIL: BUILDING PERMIT APPLICATION Existing Use of Building: L%4"1,jt>tZy ontract Price of Work: $ 30 , 00 O Proposed Use of Building: Lput-)p\q—y Heat Source: ❑Gas ❑Electric ❑Other Building Type: ❑SFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units: gCommercial ❑Industrial Type of Project: ❑New ❑Addition Remodel El Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: -S-rSV-a-kk kloo- dr-cC'.X%% \i;--, W0.'�Cr �nrLo� �� P�rne�rr�p�rtc� 6Howe�', 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 4 o #of #of #of Fixtures List of Fixtures Fixtures List of Fixtures Fixtures List of Fixtures List of 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: SPRINIKLER/ SUPPRESSION SYSTEM Number of Heads ACKNOWLEDGEtVENT.I have reviewed this application and confirm the information contained herein is true and correct. Work done pursuant to this permit must comply with curre federal,sta e.ond local law. The granting of a permit only authorizes approved work and no deviations therefrom.Deviations must first be authorized in writing from the Bu' ing Offici efor bei authorized under any circumstance.I am the owner,or 1 am authorized by the owner of this property to perform the work for which application is made. a d I c mp with t S t Contractors Law 18.2 CW and 296.200A WAC. City of Everett Official Use Only PERMIT#�L J wner/Authorized Agent Signature Date (Revised 1 0/1 212 0 1 5) L