1605 OAKES AVE 2017-07-13 - Laserfiche WebLink

--'' II��,,,,-- PERMIT APPLICATION BUILDINC�ECHANICAL / PLUMBING / SIGN ,.INKLER/ DEMOLITION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT,WA 98201 OL (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: /IcOS S 11Q+ '. L7 PROPERTY TAX#: DD�l38 a LEGAL for new construction: Short Platisubdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION I OWNER NAME: /nARy Ct.,IVAIJN6 TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET SQA-rQ CITY STAT "W OWNER PHONE: OWNER EMAIL: IV /� I CONTRACTOR NAME CDeN )e �SrO/VE QC0F//\J6, /NC. I CONTRACTOR ADDRESS: STREET /7((06.21^ /SW"t J�� Qf,,6 +. 'n CIT, (& f LL STATE A)14 II" /u✓�� CONTRACTOR PHONE: CONTRACTOR EMAIL: §196j2CDiQM 6 �/�ZL�f//VG.C.Gv�7 CONTRACTOR LICENSE#iREQUIRED): Go"j5 "-C-01.1 cln ICITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 033 C� PRIMARY CONTACT: ❑ OWNER 5�<ONTRACTOR ❑ OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: &ARA coRA116J4, OFr/CC 1"AIVA&ER CONTACT EMAIL: CDRnlE�d7zYv�k[x�FiJvG.corn BUILDING PERMIT APPLICATION Existing Use of Building: SF)? Contract Price of Work:$ / Proposed Use of Buildin : Heat Source: []Gas ❑Electric []Other Building Type: C25FR-Detached ❑SFR-Attached ❑Du lex ❑Multi-Family-#of Units: ❑Commercial ❑Industrial Type of Project ❑New ❑Addition ❑Remodel ba<epair ❑T.I. ❑Sin ❑Sprinkler ❑Demolition ❑Chan e of Use DESCRIPTION OF WORK: -i@ I C.YA�')�`e �.6"Y�GLTf/ {'+�✓1 9� ��Cf w/ CB!'��7�i lD'� 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 AJC-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 tiffs 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 perforin the work for which application is made, and 1 comply with the State Contractors Law 18 27 RCW and 296.200A WAC. City of Everett Official Use Only PERMIT] # �� J t7wner Authorized Agent Signature Date tRevised 512012016)