602 47TH ST SE 2017-06-07 - Laserfiche WebLink

Feb 24 2017 01:44PM Washington Water Heaters 8663757454 page 2 PERMIT APPLICATION BUILDING/ MECHANICAL/PLUMBING 1 SIGN i 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@evereltwa.gov i www.everet'.wa.goviperm'ts (Blue or III Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: O A "q7 l PROPERTY TAX#:a%D��j�GO 3DI �Q�} LEGAL Por new construction: Short Plitsubdivision Lot No. (attach copy of long legal description) ��/ f CONTACT INFORMATION r� OWNER NAME: `7� V "H IVQ/Jr(�/�j TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET �� 5� c Tr STATE ZIP 0 A03 OWNER PHONE: 4&1-3-7-6(27OWNER EMAIL: CONTRACTOR NAME: P/UrTSf7[JUVI t IfN /0} r�/� G�}TS CONTRACTOR ADDRESS: STREET /-7I! Z 56 ._ F6 UX 12'�)b QTr fA li-V✓1 (,{f'� sraTE zip CONTRACTOR PHONE: Z J_ 3_ 7 CONTRACTOR EMAIL: uj y C ry��l(i Ct1Y� CONTRACTOR LICENSE#(REQUIRED): �(J/Q g�� CITY OF EVERETT BUSINESS LICENSE*(REQUIRED): 3 PRIMARY CONTACT: ❑ OWNER CONTRACTOR ❑ OTHER(Please Specify) CONTACTrNAME' 1 f CONTACT PHONE: ��. 3_[{g 7/ '[`�� `[ [S CONTACT EMAIL: (,✓ tf� !! UILDING PERMIT APPLICATION Existing Use of Building: aj Contract Price of Work: $ U Proposed Use of Building: lHeat Source: t as ❑Electric 00ther Building Type: ❑SFR-Detached R-Attached ❑Du lex ❑Multi-Family-#of Units: ❑Commercial ❑industrial Type of Project ❑New ❑Addition ❑Remodel ❑Repair ❑T.I. []Sign ❑S rinkler C]Demclitlon ❑Change of Use DESCRIPTION OF WORK. "W-�- V- ASSOCIATED BUILDING PERMIT# If applicable: MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION Type of Project: _New_ Addn t ration Repair Type of Project: _New _.Add" _Alteration _Repair 5A/C #ofw #IFIocrDrain List of Fixtures List of Fixtures f Lfst of Futures List of Fixtures Fixtures Fixtures Fixt�-Air Handlin Units Heat Pump Toilet acktiow Preventer(Inside Bldg) ced Air Systems Unit Neater Bathtubs Piping Boiler Lavatory(Wash Basin) rinking Fountain ter.Heater Refri eration Shower Gas Fireplace Wood Stove 11111111kitchen Sink&Disposal Grease Trap Gas Range Ducting IDIshwasher Roof Drains Clothes Dryer Hookups Other: Clothes Washer Medical Gas Range Hood Water Heater Other: Exhaust Fan Slnk(ServIcelBar/Mopietc.) Other: SPRINKLER I SUPPRESSION SYSTEM Numher of Heads ACKNOWLEDGEMENT I have reviewed this application and confirm the information contained is true and correct. Work done pursuant to this permit mus,`comply with current federal,state,and local law.The granting of a permit only authorizes approved work and no deviations thererrom.Deviations must first be authorized 0 wnfing from the Building Officiai before being authorized under any circ stance.lam the owner,or t am authorized by the ovmer cf this property to perform the work for which application is made, an ply with the Sfate Contractors aw f e 27 RC sal. WAC r City of Everett Ofricial Ussee Only Ll / 17 PEF�f1QI E OwnertAuthonzed Agent Signature !/ Date , 0 {Rev,`sed 5/20f2016J