615 WETMORE AVE 2017-07-17 - Laserfiche WebLink

PERMIT APPLICATIQ BUILDINff;:�WECHANICAL / PLUMBING /SIG RINKLER/ DEMOLITION CITY OF EVERETT PERMIT SERVIt S 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: % � ,L� PROPERTY TAX#: Go 4R jwl�F W �vl LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) (� CONTACT INFORMATION OWNER NAME: Lj G t/v r,L TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET CITY ire i STATE �rT ZIP OWNER PHONE: 41'q - j( OWNER EMAIL: CONTRACTOR NAME; c° C'n l L 0 CONTRACTOR ADDRESS: STREET CITY � STATE ZIP �`� CONTRACTOR PHONE: 206-- ' //l q`O>�.3 CONTRACTOR EMAIL: CONTRACTOR LICENSE#(REQUIRED): 5GN U—Leon -)�- 5 0 CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): ®� � PRIMARY CONTACT: D OWNER CONTRACTOR D OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: o •7J l 'L CONTACT EMAIL: ; R`n O,iJe Cz:3 n co-,31--04 BUILDING PERMIT APPLICATION Existing Use of Building: Contract Price of Work: $ ` Proposed Use of Building: Heat Source: Gas ❑Electric ❑Other Building Type: ❑SFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units: ❑Commercial Dlndustrial Type of Project: UNew DAddition URemodel DRepair UT.I. []Sign USprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: 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 ISink(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.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. r' City of Everett Official Use Only PERMIT #M I Owner/Authorized Agent Signature Date (Revised 10/1212015)