1801 WETMORE AVE 2017-08-11 - Laserfiche WebLink

PERMIT APPLICATI ' BUILDIO/MECHANICALI PL.l11 BING I SIG SPRINKLER I DEMOLITION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET,EVERETT,WA 98201 (P)425-257-8810 1 FAX 425-257-8857 1(E)everetteps@everettwa.gov www.everettwa.gov/permits ffLEGALfbr,ew,onstruct!on: ADDRESS: fevi ' ✓ PROPERTYTAX#: Short Plat/subdivision Lof No. (attach dopy of long legal description) OWNER NAME_ t Z TENANT NAME(if Commercial): OWNER MAILING ADDRESS: STREET A CRY STATE ZIP ` OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME: C (=t T, AC CONTRACTOR ADDRESS: STREET Zt Z© A- crry STATE WA ZIP CZ V-2-0 CONTRACTOR PHONE: `i C Z j Z5 Z` i(4 CONTRACTOR EMAIL: ( vL@. ��5 ✓I t,1�c r c iB st�j CONTRACTOR LICENSE#(REQUIRED): CITY OF EVERETT BUSINESS LiCENSE#(REQUIRED): PRIMARY CONTACT: 0 OWNER CONTRACTOR O OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: CONTACT EMAIL: �� Existing Use of Building: Contract Price of Work: t Proposed Use of Building: Neat Source: b�Gas OElectric ❑Other Building Type: FR-Detached ❑SFR Attached ❑Duplex ❑Multi-Family-#of Units: ❑Commercial ❑Industrial Type of Project: ❑New OAddition EIRemodel mepair OT.I. ❑Sign OSprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: ASSOCIATED BUILDING PERMIT#('if a plicable}: ii REPGHA ;P��:� k3[Yiii �l�l��[�ATi®!N' '' PL.ii )13nN(� �C f1�A 9': P1LtCt4T 0®�3 Type of Project: JNew_ Addn _Alteration ,Repair Type of Project: _,New Addn Alteration _Repair of List of Fixtures #of List of Fixtures #°f List of Fixtures #of List of Fixtures Fixtures Fixtures Fixtures Fixtures AIC—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 IShower Floor Drain Gas Fireplace Wood Stave I Kitchen Sink&Disposal Grease Trap Gas Range Ducting lDfshwasher Roof Drains Clothes Dryer Hookups Other: I Clothes Washer Medical Gas Range Hood Water Heater 10ther. Exhaust Fan Sink(ServicelBarlMop/etc.) Other: 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 locallaw. The granting of a permit only authorizes approved work and no deviations therefrom.Deviations must first be authorized in writing from the Building officialbefore being authorized under any circumstance.l am the owner,or l am authorized by the owner of this properly 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# �- - /7 (� Owner/ uthorized Agent Signature Date (Revised 5120120 16)