5117 SEAVIEW WAY 2017-09-22 - Laserfiche WebLink

PERMIT APPLICATION BUILDING CHANICAL / PLUMBING / SIGN /*INKLER/ 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 I www.everettwa.gov/permits owaErCT PROJECT SITE RNFORMATION SITE ADDRESS / �� PROPERTY TAX#: rq C?QQ30 70 zg 567 LEGAL for new construction: Short Plat!subdivision 67 _.____Lot No. V(attach copy of long legal description) 1 CONTACT INFORMATION OWNER NAME: FF1Z)L)10E -J—'7"JE5 TENANT NAME (If Commercial): OWNER MAILING ADDRESS: STREET �J 5cAvt CIN 6� STATE WA_ Zipq rza OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME: D,4,/ i-/y/Tc t tm6t,iG- d- &q-77,j ;CONTRACTOR ADDRESS: STREET 1(0( (q 13 . G) CITY STATE 0,4- ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: (g" f rte✓ 12'r- CONTRACTOR CONTRACTOR LICENSE#(REQUIRED): fJH l y)e CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): PRIMARY CONTACT: ❑ OWNER ❑ CONTRACTOR ❑ OTHER(Please Specify) CONTACT NAME: _ CONTACT PHONE: DCu CONTACT EMAIL: Br W t LE /U BUILDING PERMIT APPLICATION ting Use of Building: Contract Price of Work: $ 00 posed Use of Building: Heat Source: ❑Gas ❑Electric ❑Other Building Type: ❑SFR-Detached SFR-Attached El 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: 966 (a-CE EXI.577Wlr ,D2lV ATS &A)AT-,� � �IGC e?Z61", '-W e— C l /7l 2T-C-Z ro ry-I�/� /-�py✓t G//-FH A 1,1e w WA-T-e� S'&2✓/eE 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 P12111A Exhaust Fan Sink(Service/Bar/Mop/etc.) Other: SPRINKLER/SUPPRESSION SYSTEM Number of Heads VOWLEDGEMENT:I have reviewed this application and confirm the information contained herein is time and correct.Work done pursuant to this permit must comply with nt 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 ding 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 l comply with the State Contractors Law 18.27 RCW and 296.200A WAC. City of Everett Official Use Only " ---- 3o Owner/A lorized Agent Sign r Date (Revised 10/12/2015)