612 108TH PL SE 2017-06-07 - Laserfiche WebLink

PERMIT APPLICATION BUILDING / MECHANICAL / 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 (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS:6 1 2 198th PI SE PROPERTY TAX#: LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: Lucille Hunt TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET 612 198th PI SE ciTY Everett STATE Wa zip 98208 OWNER PHONE: 4255-3'553-41 25 1OWNER EMAIL: CONTRACTOR NAME: Snohomish Valley roofing CONTRACTOR ADDRESS: STREET 625 S Lake Stevens Rd ciTV Lake Stevens STATE Wa zip 98258 CONTRACTOR PHONE: 425-334-3325 CONTRACTOR EMAIL:SnohomlShvalle roofin mail.com CONTRACTOR LICENSE#(REQUIRED): 601 953898 CITY OF EVERETT BUSINESS LICENSE#(REQUIRED):037851 PRIMARY CONTACT: ❑OWNER a CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 425_754_5575 David Warrick CONTACT EMAIL:snohomishvalIeyroofing@gmail.com BUILDING PERMIT APPLICATION Existing Use of Building: Contract Price of Work:$ Proposed Use of Building: Heat Source: ❑Gas []Electric ❑Other Building Type: ❑SFR-Detached OSFR-Attached []Duplex ❑Multi-Family-#of Units: ❑Commercial ❑Industrial Type of Project: ❑New ❑Addition ❑Remodel ❑Repair ❑T.I. ❑Sin ❑Sprinkler ❑Demolition ❑Chan e of Use DESCRIPTION OF WORK: ReRoof 0A�7� C'b "'P C, 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 #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.t am the owner,or/am authorized by the owner of this property to perform the work for which application is made, an�t_Lcovt with the State Cot ctors Law 18.27 RCW and 296.200A WAC. City of Everett Official Use Only PERMIT# Owner/Authorized Agent Signature Date (Revised 9/23/2016)