1031 75TH ST SE 2017-07-28 - Laserfiche WebLink

PERMIT APPLICATION EUILDINPO--MECHANICAL I PLUMBING I SIGI-– PRINKLER I DEMOLITION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT,WA 98201 (P)425-257-8810 FAX 425-257-8857 1(E)everetteps@everettwa.gov I www.everettwa.gov/permits PROJECT SITE INFORMATION PROJECT SITE ADDRESS: ,�S PROPERTY TAX#: LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: ZH t,�"C �l`7 TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET / ZC) JA CITY STATE /ZIP�J!YG U OWNER PHONE: OWNER EMAIL: int Jit�`. Gb CONTRACTOR NAME: JIB Cj�!/tc ✓ CONTRACTOR ADDRESS: STREET /V ZU (A Cr-LS)vt 6 CITY I]e--"— I- STATE ZIP CONTRACTOR PHONE: GAS 7'3e) 7 5 Z 6 CONTRACTOR EMAIL: !� (iurl�uvySl i?Jc ��•blrt.L CONTRACTOR LICENSE#(REQUIRED): CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): PRIMARY CONTACT: IJOWNER ❑ CONTRACTOR ❑ OTHER(Please Specify) CONTACT NAME: �e, CONTACT PHONE: -7<-7Z 76 CONTACT EMAIL: BUILDING PERMIT APPLICATION Exlauriy Use o f Bu;lding: 4e - r...e., _ Proposed Use of Building: Heat Source: ❑Gas 11 Electric ❑Other Building Type: ❑SFR-Detached ❑SFR-Attached ❑Duplex .OMulti-Family-#of Units: ❑Commercial ❑Industrial Type of Project: ❑New ❑Addition RRemodel IORepair ❑T.I. ❑Sign []Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: n /J � � � �- 51/ ASSOCIATED BUILDING PERMIT#(if applicable): MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION Type of Project: _New _ Addn _Alteration _RepairType of Project: _ff 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 j 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:1 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.I am the owner,or I am authorized by the owner of this property to perform the work for which application is made, and I comply with the State Contractors Law 98.27 RCW and 296.20aA WAC. City of Everett Official Use Only PERMIT Owner/Authorized Agent/ gnature / Date (Revised 90/9 2095)