4014 HOYT AVE 2017-06-13 - Laserfiche WebLink

a�EP`S�illa 0 ea�rr�aeos,�o aaaav SU LMMG 1 M,ECHANICAL 1 PLUMBING 1 SIGN 1 SPRMKLER 1 DEMOUTMM CITY OF EVERETT PERMIT SERVICI 416773200 CEDAR STREET,EVERETT,WA S-__. (P)425-257-8810 FAX 425-257-8857 1(E)everetteps@everettv,,a.gov I taha�✓.everelb4a.gov/permits PROJECT SOTE ENFOREOATO(OM PROJECT SITE ADDRESS- PROPER` PROP ER T Y TA;(#: I LEGt�L for ne xr consiructicn: ShortPiat/subdivision _Lot No. (attach copy of long legal description) COE+3uG'.,tCT 9Ms=OF�,Ipg'IA I ROM OWNER NAME: TENANT NAME(if Commercial): OWNER MAILING ADDRESS: STREET Z.- 'k o CITY STATE ZIP B OWNER PHONE: OWNER EMAIL: G$i k-ArS.C.G 1%% CONTRACTOR NAME: CONTRACTOR ADDRESS: STREET CITY STATE ZIP CONTRACTOR PRONE: CONTRACTOR EMAIL: CONTRACTOR LICENSE#(REQUIRED): CITY OF EVERETT BUSINESS LICENSE;#(REQUIRED): PRIMARY CONTACT: ❑OWNER ❑CONTRACTOR .OTHER(Please Specify) (CONTACT NAME: CONTACT PHONE: o 0090 ,I I CONTACT EMAIL: St 1L�_ Sr GO I Lr!9L1396�6 F E R PJi0u o-zPPLE.C zVu 9 M, -- Existing Use of Building: Corttrac4 Price o,Vuor?c ca Proposed Use of Building: (Heat Source: ❑Gas ,-lectric ❑Other (Building Type: ZSFR-Detached ❑SFR.-Attached ❑Duplex CMulti-Family-if of Units: __ ❑Commercial IDIndustrial Type of Project: ❑New ❑Addition ❑Remodel ❑Repair OT.I. ❑Sign ❑Sprinkler Wemolition ❑Change of Use II DESCRIPTION OF WORK: I( ASSOCIAI ED BUILDING PERCti1I T (if applicable): il�Ev�EJIraMOCAL PERAR97 APPLgQ%71iQN L'Ld96IRBO,i'G PERP0117 AE PLECATOON Type of Project: _New _ Addn _Alteration _Repair Type of Project: _New _Addn _Alteration _Repair #of #of Fixtures List of Fixtures Fixtures List of Fixtures #of List of Fixtures #°f List of 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 Drrer Hookups Other: Clothes Washer Medical Gas Range Hood Water Heater Other: Exhaust Fan Sink(Service/Bar/Mop/etc.) Other: I I � u SPRINKLER/SUPPRESaSR 0M SYS ii{EM 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 18.27 RCW and 296.200A WAC. City of Everett Official Use Only l/ Owner/Aulthofted Agent Signature Date (Revised 10/12/2015)