1129 MAPLE ST 2017-06-21 - Laserfiche WebLink

PERMIT APPLICATIC> BUILDINU I MECHANICAL/ PLUMBING / SIGNcF=,JPRINKLER / DEMOLITION CITY OF EVERETT PERMIT SERVICES E 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 PROJECT SITE INFORMATION PROJECT SITE ADDRESS: PROPERTY TAX#: — / c 1 '-)L E & F 7._ `v/I 9.90 I C) )� 3 �.� ,� ?L� LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET d CITY r e' •/ STATE /Lr A ZIP ` D U OWNER PHONE: Vey S OWNER EMAIL: / / )S C)/ i CU J Illl" 1 Z'cd LVII 1 CONTRACTOR NAME: CONTRACTOR ADDRESS: STREET CITY STATE ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: CONTRACTOR LICENSE#(REQUIRED): CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): PRIMARY CONTACT: ®OWNER ❑CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 4A f- 3 l� S CONTACT EMAIL: v f+ l3r'L NS��ti �Rp��7 �ES��-��(ti , Lci✓�1 BUILDLRN4G PERMIT APPLICATION Existing Use of Building: ' k ( 1 c' i Contract Price of Work: Proposed Use of Building: I Heat Source: []Gas ❑Electric ❑Other Building Type: 46SFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units: ❑Commercial ❑Industrial Type of Project: ❑New ❑Addition N31�emodel lHRepair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: i1 [ %,.� ri�11u� 11 16V S�CUL'� zzGNt�U7i"; � � i 1 rcitrl / b",All 4a_b> t /WA t/ iv ><5 j r Lr iv v�'r r S '),� a Lt' u j)G r', c t3 z�� r I t It tib I.�.L�of'1-1/.,14,1-zt /,l--f�-4' f P/1 It,(,_ 1�k.Vl/ �)i��S, 7C�'�Ott.v 1" l t'��J/Cr(�' �91 LG!"� a'; J J J o ASSOCIATED BUILDING PERMIT#(if applicable): ;t t S �� I 1 rii(c j 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 i 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 Lt]Water Heater Other: Exhaust Fan Sink(Service/Bar/Mop/etc.) Other: 1i,Ito �t k S 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./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 PERMIT# '41/h1,,�20l6 (l"0 4--- 001 Ownef Author" ed Agent Signature Date (Revised 1011212015)