6000 23RD DR W TEAGUE 2017-10-30

PERMIT APPLICATI BUILDINOMECHANICAL / PLUMBING / SIG ,,PRINKLER / DEMOLITION CITY OF EVERETT PERMIT SERVICES OL 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 (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: 6000 Z 3rd �Y 1^/eS 1' PROPERTY TAX#:--z Zc03o I BOO LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: G OH /1"/ne * TeAyt4,qV TENANT NAME (If Commercial):Te CJQ ft OWNER MAILING ADDRESS: STREET ��Z(/� CITY -'GK ItDi STATE VVA zip V la'k OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME: Patriot Fire Protection) Inc. CONTRACTOR ADDRESS: STREET 97n7 7nth Ayp F CITY Tacoma STATE`^,A zip 98424 CONTRACTOR PHONE: 2553-926-2290 CONTRACTOR EMAIL: CONTRACTOR LICENSE#(REQUIRED): CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 024694 PRIMARY CONTACT: ❑ OWNER ® CONTRACTOR ❑ OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 2�3 - 1 ZF7 - 7-2go (�v 1. rel 6ArlStanso✓l CONTACT EMAIL:G1avryt.c4r-iStensam at-rrof Are-cowl BUILDING PERMIT APPLICATION Existing Use of Building: Contract Price of Work: $ Proposed Use of Building: I Heat Source: El Gas ❑Electric ❑Other Building Type: ❑SFR-Detached ❑SFR-Attached El Duplex ❑Multi-Family-#of Units: Commercial El Industrial Type of Project: ❑New ❑Addition ❑Remodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use 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 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: Exhaust Fan Sink(Service/Bar/Mop/etc.) Other: SPRINKLER/ SUPPRESSION SYSTEM Number of Heads ACKNOWLEDGEMENT:1 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.1 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 PERMIT# b � D Twner/AutKorizrd Agent Signature Date (Revised 5/20/2016)