5414 FLEMING ST 2018-04-24 - Laserfiche WebLink

OLT PERMIT APPLICATION • BUILDING / MECHANICAL/ PLUMBING / SIGN / RINKLER/ DEMOLITION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT,WA 98201 (P)425-257-8810 I FAX 425-257-8857 1(E)everetteps@everettwa.gov 1 www.everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: 5(10 1/ F2.6.---lu//1/6, 1j/ PROPERTY TAX#: 49031 7? D/bo/S o 0 LEGAL for new construction: Short Plat/subdivision /-7J 4- (/./0 Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: /),fl/yl/g f'/jl-ki&j TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET 7/.) 2/a1�. j 4/Z. / G, '/i'/i"V[,(Jn" ) ///j CITY STATEze, ZIP / r/ OWNER PHONE: 4t 5 3 ,P- SS(z� OWNER EMAIL: / ,•9-",- ;/}-(17-0 (. GL/s./t,/, C CI- CONTRACTOR NAME: 0�/ 4/-.:-- CONTRACTOR ADDRESS: STREET CITY STATE ZIP _ CONTRACTOR PHONE: CONTRACTOR EMAIL: CONTRACTOR LICENSE#(REQUIRED): CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): PRIMARY CONTACT: OWNER ❑CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 4747_)_ ;S �(' (-,i; fiij/ire /// /, (7/7i/iv CONTACT EMAIL: BUILD NG PERMIT APPLICATI• ExistingUse of Building: L� Contract Price o Work: v uZ) � Proposed Use of Building: .j,- ryi Heat Source: ••-s XElectric ■: er Building Type: ❑SFR-Detached ❑SFR-Attached .Duplex ❑Multi-Family-#of Units: ❑Commercial ❑Industrial Type of Project: ❑New ❑Addition DRemodel f.Repair CIT.'. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: fi Oki /%e L � r-e 'it .z. . / /" r�7 c ioU '- ��"'`-'°Pt. f�/3LL ASSOCIATED BUILDING PERMIT#(if applicable): MECHANICAL PERMIT APPLICATION _ PLUMBING PERMIT APPLICATION Type of Project: )(New _ Addn _Alteration _Re�• Type of Project: _New _Addn _Alteration _Repair #of List of Fixtures #of List of F •s #of List of Fixtures #°{ List of Fixtures Fixtures Fixtures Fixtures Fixtures A/C—Air Handling Units Heat P mp Toilet Backflow Preventer(Inside Bldg) Forced Air Systems _ .i1 -. -r Bathtub Urinal Gas Piping ( :::ler Lavatory(Wash Basin) Drinking Fountain Water Heater l 'efrigeration Shower Floor Drain Gas Fireplace . Wood Stove Kitchen Sink&Disposal Grease Trap Gas nge acting Dishwasher Roof Drains hes Dryer Hookk is Other: Clothes Washer Medical Gas Range Hood s+ l'e 7�c,7 'e5 Water Heater Other: Exhaust Fan 141f,yi?. (. )JL E' Sink(Service/Bar/Mop/etc.) Other: d,3) (,c)//2 o SPRINKLER/S 4 PPR SS ON SYSTEM Chemical or Water I No.of Heads ACKNOWLEDGEMENT:I 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/comply with the State Contractors Law 18.27 RCW and 296.200A WAC. City of Everett Official Use Only PERMIT jii /,---. ,// ------L1._. --.//---/7 In.C5 ( '---01 1-1 wrier/Authorized Agent'Signature Date (Revised 9/23/2016) / I\ i � Ji