615 13TH ST 2017-09-25 - Laserfiche WebLink

„_,_ PERMIT APPLICATION C f&IGflflilo MECHANICAL/PLUMBING/SIGN I SPRINKLER/DEMOLITION CITY OF EVERETT PERMIT SERVICES .1 477. 3200 CEDAR STREET,EVERETT,WA 98201 (P)425-257-8810 1 FAX 425-257-8857 l(E)everetteps@everettwa.gov i www.everettwa.gov/permits PROJECT SITE INFORMATION PROJECT SITE ADDRESS: t'v 15 13 iM PROPERTY TAX#: LEGAL for new construction: Short Plattsubdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: eb±Of TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET CITY t,.�""`«t STATE ZIP +` OWNER PHONE: '•tf 2—S-• ZS'7—3 fo OWNER EMAIL: CONTRACTOR NAME; 0 CONTRACTOR ADDRESS: STREET CITY STATE ZIP CONTRACTOR PHONE. CONTRACTOR EMAIL: CONTRACTOR LICENSE#(REQUIRED)- C:ITY'OF EVERETT BUSINESS LICENSE#(REQUIRED): PRIMARY CONTACT: 5tOWNER ❑CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: 15rand.011 CONTACT PHONE: 4ZS"3�8`�Cot CONTACT EMAIL. BUILDING PERMIT APPLICATION Existing Use of Building:T 0^4 0uhl(W +'COM Contract Price of Work:$ IS,700,QQ Proposed Use of Buildin :_4)W 'fke Heat Source: ❑Gas KElectric ❑Other Building Type: ❑SFR-Detached ❑SFR-Attached ❑Du lex ❑Multi-Famil -#of Units: ❑Commercial ❑Industrial Type of Project: ❑New ❑Addition ❑Remodel ❑Repair ❑T.I.__ ❑Sign ❑Sprinkler ❑Demolition []Change of Use X /rZOVIC 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 A1C—Air HandlingUnits 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&Dispose[ Grease Trap Gas Range Ducting _ Dishwasher Roof Drains Clothes Dryer Hookups Other: Clothes Washer Medical Gas Range Hood Water Heater Other: Exhaust'Fan Sink ServicelBar/Mopletc. Other: _ SPRINKLER/SUPPRESSION SYSTEM Number of Heads ACKNOWLEDGEMENT:t 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 1 comply with the State Contractors Law 18:27 RCW and 296.200A WAC. City of Everett Official Use Only PERMIT# D wnerfAuthorized Agent Signature Date {Revised 10/12121715}