5829 S 2ND AVE 2017-06-07 - Laserfiche WebLink

09/13/2016 TUE 7: 37 FAX 425 252 1666 CM Heating 0002/004 PERMIT APPLICATION BUILDING / MECHANICAL / PLUMBING /SIGN / SPRINKLER / DEMOLITION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 88201 (P)425-267-6810 1 FAX 426-257-8857 1 (E)everettep5gsvereltwa,gov i VAM.everellwa.gov/permits BI,Ue Qr"Qlack I�ik'lanly lsle�se 'PR4 LCT SI'f'� INPOFrMAYIdI� ' PROJECT SITE ADDRESS: G PROPERTY TAX ; LEGAL for new Con5lruCt1on; Short Plot/subdlvlalon Lot No.__. (attach copy of long legal dsacrlptlon) I;-QN'*AC'f',1 Nf 1ORM ATI0 N . OWNER NAME: C TENANT NAME If Commerclal): OWNER MAILINO ADDRESS: STREET nc lel �', cm ` w- srATC wiln, zip OWNER PHONE: [Let--I OWNED EMAIL: CONTRACTOR NAME; + CONTRACTOR ADDRESS: sTREEr CITY STATE Wftl ZIP a� CONTRACTOR PHONE: CONTRACTOR EMAIL: CONTRACTOR LICENSE#(REQUIRED);2 n CITY OF EVERETT BUSINESS LICENSI;#(REQUIRED): C PRIMARY CONTACT: ❑ OWNER ,CONTRACTOR ❑ OTHER(Please Specify) CONTACT NAME; CONTACT PHONE: 5 a CONTACT EMAIL; ExIMIng Use of Bulldln : Contract Price of Work: S Proposed Use of BLlldln : Heat Source: []Gas Electric ❑Other Building Type: FR-Detached OSFR-Attached ❑Duplex ❑Multi-Famll -ff of Unite: QCommerclal ❑Industrial Type of Pro eat ❑New ❑Addltion EIRemodel ❑Re alr ❑T.i. ❑Sin OS rinkler ❑Demolltlon ❑Chan e of Use DESCRIPTION OF WORK: ' POMP S� ASSOCIATED BUILDING PERMIT# If a licabla : 11"Ok'"Ot 11tPl0I�0IIN,._. , 'frill i' 'LICi4Tl N Type of Project: `Naw _ Addn Altoratlon _Repalr Type of Projaot; New _Addn - Alteratlon _Ropalr #of List of Fixtures #of #of #of Fixtures Fixtures List of Flxlures Fixtures L/st of Flxfares Flxturep L/sf of Fixtures A/C—Alr Handlln Units Heat Pump Tailet Backflow Prevonter Inside Bld Forced Air 5 eters Unit Heater Bathtub Urinal Gas PIpIng Boller havator Wash Basin DrInkIng Fountain Water Heater Refrigeration Shower Floor Drain Gas Fireplace Wood Stave Kitchen Sink&Disposal Grease Trap Gas Range Duclin Dishwasher Roof Drains Clothes Dryer Hooku a Other: Clothes Washer Medical Gae Range Hood Water Heater Other: Exhaust Fan Sink Servlce/Bar/Mo /ata. Other: 777 7 Number of Heads ACKNO WLEDOEMENT:/have rsvlowod this application and conflrm the fnformagon contained herein Is true and correct. Work done pursuant to this permit must ccmpty with current federal,state, and locailaw. The granting of a permit only authorizos approved work and no devistlona thererrom,oevlaflons muss flrst be authorized in writing from the Bullding Orflclsl hafore being authorized ander any clrcurnstanco.I em rho owner,or 1 am authorized by the owner of this property to perform rho work for which appllcaflon Is made. find I comply with the Stela Contractors Law 10.27 RCW and 296.200A WAC. C� Clfy of Everett Official Use Only t II ll/ PERt}ft�T/ I �O OWner)Authorized Agent Slgn tura Date (Revised 5/20/20 r6)