4966 VESPER DR 2017-08-02 - Laserfiche WebLink

PERtVIIT APPLICATION BUILDWG / MECHANICAL/ PLUMBWG / SIGN / SPRINKLER/ DEMOLITION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET,EVERETT,WA 98201 (P)425-257-8810 � FAX 425-257-8857 �(E)everetteps@everettwa.gov� www.everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATIOW PROJECT SITE ADDRESS: a"" r �Q ^� ( PROPERTY TAX#: LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: ��l Q,� � TENANT NAME(If Commercial): OWNER MAILING ADDRESS: srREer e � CITY � / STATE �/1/11 ZIP 2� OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME; /� , � GV 1 � l a1'1,� �tii »v� 1 r� CONTRACTOR ADDRESS: sTREEr � � /�`�( �� ,� CITY -�f�(� STATE �� ZIP ��j�VL1 CONTRACTOR PHONE: 2S—S��-��5� CONTRACTOR EMAIL: a t.�V�s �� L�-+sn�h �hb�W1 '�^�+ CONTRACTOR LICENSE#(REQUIRED):Q�y�SC. � l {�I� CIIY OF EVERETT BUSINESS LICENSE#(REQUI ): �3�j�c � PRIMARY CONTACT: ❑ OWNER CONTRACTOR ❑ OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: '-I Z�-S� j '• )SS�, ��- : '�C��l t� CONTACT EMAIL: q�i i C�/n'y�tGy,.,�:�•�,1.� ��^t7 y�"1c,,.� •i:rw, BUILDING PERMIT APPLICATION � � Existing Use of Building: ��,� �< Contract Price of Work:$ � �� � Proposed Use of Building: �tl �� Heat Source: ❑Gas Electric ❑Other Building Type: ❑SFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units: ❑Commercial ❑Industrial Type of Project: ❑New ❑Addition Remodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: � ��-� ��c. �y-��,�-_� ��,c-,`�� -�-a i`,v',...� ��c� 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 #�f List of Fixtures #°f Lisf of Fixtures #°f List of Fixtures Fixtures Fi�ctures Fi�dures Fixtures A/C—Air Handling Units Heat Pump j Toilet Backflow Preventer(Inside Bidg) 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 1lVate�-k�eateF -. Other: Exhaust Fan Sink(Service/Bar/Mop/etc.) Other: SPRINF(LER/Sl1PPRES510P1 �Y5'f°�11i1 Number of Heads ACKNOWLEDGEMENT.l 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 1 comply with tire State Contractors Law 18.27 RCW and 296.200A WAC. City of Everett Officral Use Only PE T l. I �-'�z-z.-�I -G � � -- Owner/A o d gent Signature Date (Revised 5/20/2016) ,,� � '�