2205 BROADWAY 2017-10-03 - Laserfiche WebLink

PERMIT APPLICATION BUILDINECHANICAL / PLUMBING / SIGN,SPRINKLER / DEMOLITION CITY OF EVERETT PERMIT SERVI 3200 CEDAR STREET,OEVERETT; WA 98201 (P)425-257-8810 FAX 425-257-8857 (E)everetteps@everettwa.gov I www.everettwa.gov/permits PROJECT SITE INFORMATION PROJECT SITE ADDRESS: �20�C�w PROPERTY TAX#: D oA'5 14-7400\O LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: W1°�l.6JZ66-+-:,S ep TENANT NAME(If Commercial): WA2ykECA2S OWNER MAULING ADDRESS: STREET �p(o /� � �Q� 1- S (p¢C) CITY STATE /L ZIP 6,pO1S OWNER PHONE: } , '�)�j, q"� (� /J OWNER EMAIL: CONTRACTOR NAME. i 44 c'el'-"r X (ief h--,I r 6 i7 n" `' i(G� J CONTRACTOR ADDRESS: STREET CITY STATE ZIP CONTRACTOR PHONE: G�t!i� " "( 7� >> / CONTRACTOR EMAIL: ff CONTRACTOR LICENSE#(REQUIRED): I CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): C)SGry`TE^ PRIMARY CONTACT: ❑ OWNER ❑ CONTRACTOR ❑ OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: CONTACT EMAIL: BUILDING PERMIT APPLICATION xistin Use of Buildin f - Contract Price of Work:$ 'roposed Use of Building: fjp b ' Heat Source: ❑Gas El Electric []Other 3uilding Type: ❑SFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units: _ 06ommercial 11 Industrial Type of Project: El New ❑Addition PdRemodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition []Change of Use )ESCRIPTION OF WORK: 1iU7E3e1aA,--' RriAjoulP mou -{r-> Coil-'5� -T- 2 P9J(JA F67 CO3"-5(-LT F—WA-3 L�Jr9cc><r 7b T-H66 PHill, w^Ct CJD EKTC-eloee 02 :5/-rE wo2t:�' is 4SSOCIATED BUILDING PERMIT#(if applicable): MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION rype of Project: _New _ Addn _Alteration _Rep! Type of Project: _New _Addn _Alteration R pair #of of Fixtures #of #of #of ist L' Fixt Fixtures Fixtures Fixtures Fixtures List of Fixtures Fixtures ures A/C-Air ndling Units Heat Pump5P4ir Toilet Bac Preventer(Inside Bldg) Forced Air S ms Unit Heater>"y Bathtub nal Gas Piping Boiler Z Lavatory(Wash Ba Drinking Fountain Water Heater Refrigeration Shower Floor Drain Gas Firepla Wood Stove Kitchen Sink&Dispos Grease Trap Gas UWEDucting Dishwasher oof Drains Qoee's Dryer Hookups ther: Clothes r I Gas ange Hood W eater Other: Exhaust Fan Sink(Service/Bar/Mop/etc.) Other: SPRINKLER/ SUPPRESSION SYSTEM Number of Heads iCKNOWLEDGF_MENT.I have reviewed this application and confirm the information contained herein is true and correct. Work done pursuant to this permit must comply with urrent 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 Wilding 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, nd I comply with the State Contractors Law 18.27 RCW and 296.200A WAC. City of Everett Oficial Use Only PERMIT �(• l3• Zalco � )w IAut orized Agent Signature Date i'Revised 10/12/2015) t Z