1604 HEWITT AVE UBS 2017-08-18 - Laserfiche WebLink

- PERMIT APPLICAT'l0 BUIL®IPo MECHANICAL 1 PLUME31NG 1 SIGObPRINKLER 1 DEMOLITION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET,EVERETT,WA 98201 (P)425-257-8810 FAX 425-257-8857 1(E)everetteps@everettwa.gov www.everettwa.gov/permits (�➢a .®ri [ 9 �>x_haul ._®ruQjj PVA s�1 Pftdikt-T Sfft dG!! ®1 1 $®1 . :- PROJECT SITE ADDRESS: PROPERTY TAX#: LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT Ali9li?®r�I�, TrI®Hd . OWNER NAME: 'S 7 =- TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET CITY STATE ZIP OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME: C.��/ CA CONTRACTOR ADDRESS: STREET ZQ CITY STATE ZIP CONTRACTOR PHONE: �t4-S1-31( CONTRACTOR EMAIL: CONTRACTOR LICENSE#(REQUIRED): ZZa CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): (7 " PRIMARY CONTACT: O OWNERv CONTRACTOR O OTHER(Please Specify) CONTACT NAME: CONTACT PHONE; CONTACT EMAIL: ��.L L�S Jim►IILt1�Z_C Ct1 ti� :'_BIJILWNq PERMIT,APP.UdAndfil Existing Use of Building: lGontract Price of Work:$ COD Proposed Use of Building: Heat Source: 56as OElectric ❑Other Building Type: ❑SFR-Detached ❑SFR-Attached ODuplex OMulti-Family-#of Units: D(Sommercial ❑Industrial Type of Project: ONew OAddition ❑Remodel ORepair $F.I. OSign OSprinkler ODemolition ❑Change of Use DESCRIPTION OF WORK: �,� � �(�"`^�`� - 8ti• alt_' ��, (�c.i C—'� V��4 s ASSOCIATED BUILDING PERMIT#(if applicable): MECHANICAL.PERM-1- APPMC'A-TI®NPL.t) IBING PERMIT:fAPP[:ICATION Type of Project: New _ Addn _Alteration _Repair Type of Project; _New Addn Alteration _Repair #ofList of Fixtures #of List of Fixtures #of List of Fixtures #°f List of Fixtures Fixtures Fixtures Fixtures Fixtures A/C-Air Handling Units JHeatPurnp Toilet Backflow Preventer(Inside Bldg) Forced Air Systems Unit Heater Bathtub Urinal Gas Piping Boiler Lavatory(Wash Basin) Drinking Fountain Wafer Heater lRefrigeration IShower Floor Drain Gas Fireplace lWood Stove I Kitchen Sink&Disposal Grease Trap Gas Range I Ducting IDishwasher Roof Drains Clothes Dryer Hookups Other: I Clothes Washer Medical Gas Range Hood Water Heater Other: Exhaust Fan Sink(Service/BarlMop/etc.) Other 510H 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 98 27 RCW and 296.200A WAC. r City of Everett Official Use Only 11/ PERMIT# Owner/Authorized Agent Signature Date (Revised 5/20/2096) ;