4626 HOYT AVE 2017-06-13 - Laserfiche WebLink

07/25/2016 MON 10: 44 FAX 425 252 1666 CM Heating 0003/003 PERMIT APPLICATION BUILDING / MECHANICAL I PLUMBING If SIGN / SPRINKLER / DEMOLITION -77 CITY OF EVERETT PERMIT SERVICES 41 3200 CEDAR STREET, EVERETT,WA 98201 (P)425.257-8810 1 FAX 425-257-8857 1(E)overettepa(gteverettwo.gov I www.evorettwa,govlpsrmIts (B>ru, Vii'.�1�ak:A�4k'Qli�tl lege PRQ,�1>~I,:Y'$� � 11�1°C�RIVIA`rt'1.01+1 PROJECT SITE ADDRESS; Z PROPERTY TAX#: LEGAL for new construohon: Short PlaUsubdlvlslon Lot No, (altech copy of long legal descrlptlon) CONTACT W06RMAT 6b OWNER NAME; TENANT NAME If Commerclsl : OWNER MAILING ADDRESS; STREET CITY STATE zlA OWNER PHONF: 3 d q'44 L4q OWNER EMAIL; CONTRACTOR NAME; rM CONTRACTOR ADDRESS; STREET ctrY STAre zip CONTRACTOR PHONE; CONTRACTOR EMAIL: CONTRACTOR LICENSE#(REQUIRED) `l^1C Y� CITY OF EVERETT BUSINESS LICENSE N(REOUIRED)I PRIMARY CONTACT: ❑ OWNER ONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: CONTACT EMAIL: ., ,. :a'•a •.'5.r,c>„ ,, .•.,.r,c i, 777' ' 90 ,ir,,•' ++rr - Existing Use of Building: Contract Price of Work; $ d� Pro Dsad Use of Building; Heat Source: ❑Gas ❑Electric ❑Other Building Type; ❑SFR-Dotached ❑SFR.Altachad ❑Du lex ❑Multl-Famll -#of Units: ❑Commercial 01ndustrial TypaofPro oct: ❑New ❑Addition ❑F2emodel ❑Repair U71, ©Sin ❑S rinklar QDemolition ❑Chan e of Usa DESCRIPTION OF WORK: ets� d,-t r6ra pip 0-) ASSOCIATED BUILDING PERMIT# if a Ilcabl® : AO A Type of Pro(act: _New _ Addn _Alteration _Ropair Type of Project: _New Addn Alteratlon Rapalr Flxturea List of Fixtures FIxfUYAd List of Rtxfuras Flrfu es List of Fixtures Flrfu as List of FIKfursa A/C—Air Handling Unl s Heat Pump Toilst Backflow Preventur Inside eld Forced Air Systems n t eater Bathtub Urinal as Piping Killer avato ash Basin) brinking Fountain Water Heater Rritrippratlon413,her Floor Drain Gas Fireplace Wood Stove Kitchen nk&DIs oral Grease Trap Gas Ran a Ductingwasher Roof Drains Clothes Dryer Hoaku s Other: es Washer Medical Gas Ran a Hood r Heater Other: Exhaust Fan Servlce/Bar1Ma letc. Other: Klemm um er o ea a ACKNOWLEDGEMENT;/have reviewed Ihls application arid confirm the lnformarlort oonfained hereln Is Prue and correct, Work dont pursuant to this permlr must comply with currant fedarai, stale,and tonal law. The granting of a permlr only authorhes approved work and no dev/allons therefrom.Devletlons must first be authorizadIn wrhing from the Bullding off1c101 h6fore being eurhor/zed under any clrcumsfance.I am the owner,or r am authorized by the owner of this property to perform the work for which application is made, and I comply with the State Contractors Lew 18.27 RC W and 2RE.200A WAC. City of Everati Off/ctal Use Only PERMIT 1 E Ownor/Authorized Agent Slunaturs Date (Revised 0/2016)