2225 MADISON ST 2017-10-24 - Laserfiche WebLink

PERMIT APPLICATION BUILDING / MECHANICAL/ PLUMBING I SIGN I SPRINKLER 1 DEMOLITION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET,EVERETT,WA 98201 (P)425-257-8810 ( FAX 425-257-8857 1(E)everetteps@everetiwa.gov I www.everettwa.gov/permits (Blue or Black Ink Only_Please)lease) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: 725 E l PROPERTY TAX M LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal descrip(ion) CONTACT INFORMATION OWNER NAME: aTENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET CITY STATE ZIP OWNER PHONE: jp OWNER EMAIL: CONTRACTOR NAME: C 11/1 H –11 ti-- CONTRACTOR ADDRESS: STREET IA�b Ctrl' STATE WA, ZIP ? Z CONTRACTOR PHONE: a CONTRACTOR EMAIL: {��)e t C r-n i-eOL.VA , • Co►r►`) CONTRACTOR LICENSE#(REQUIRED): l��lf�rYl�t��Zd)'i ICITY OF EVERETT BUSINESS LICENSE#(REQUIRED): PRIMARY CONTACT: ❑OWNER §6 CONTRACTOR C3 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: � j CONTACT EMAIL: Jeb 0 1 eaiin .to(yl BUILDING PERMIl ""A00MA`r iON Existing Use Of Building: Contract Price of"Work:$ Proposed Use of Building, Heat Source: Gas []Electric Other Building Type; SFR-Detached ❑SFR-Attached ❑Du lox ❑Multi-Family-#of Units, ©Commerclal ❑Industrial "type of Project: ❑New ❑Addition ❑Remodel ❑Repair ❑T.L ❑Sign ❑Sprinkler ❑Demolition ❑Chane of Use DESCRIPTION OF WORK; reel q5 ASSOCIATED BUILDING PERMIT# If applicable): MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION Type of Project: _New _ Addn _Alteration _Repair Type of Project: New —Addn#of Alteration Repair #of — — List of Fixtures 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 FireplaceWood Stove lKitchen Sink&Disposal Grease Trap Gas Range Ducting .Dishwasher Roof Drains Clothes Dryer Hookups Other: :Clothes Washer Medical Gas Range Hood Water Heater Other: Exhaust Fan Sink Service/Bar/Mop/etc. Other: SPRINKLER t SUPPRESSION SYSTEM Chemical or Water I INo. of Heads ACKNOWLEDGEMENT:f have reviewed this appiicatlon 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 granfing 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 18.27 RCW and 296.200A WAC. City of Everett Official Use Only 8 g - PERMIT 03 �OwneNAuthorizod A en i nature��– ate (Povised 912312 0 1 6)