1311 GRAND AVE 2017-11-28 - Laserfiche WebLink

09/23/2017 WED 14: 41 FAX Feet Water Heater 1009/009 I 0 3 FE67 ' 00:17 PERMIT APPLICATION BUILDING /IVIECHANICAL/PLUMBING /SIGN I SPRINKLER/ DEMOLITION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET,EVERETT,WA 98201 _— (P)425-25741810 I FAX 425-257-8857 I(E)everettepsaeverellwa.gov I www.everettwa.gov/permIts Siu®or Slack Ink Only Pleas®) PROJECTSITE INFORMATION PROJECT SITE ADDRESS: ( J, CI,r---TAAA.0), E AV ,PROPERTY TAX#: pb_l/,3 QO j.),--1Qo LEGAL for new construction: Short PIatietihdivIeIoo Lot No, _. (attach copy of long legal deacriplion) CONTACT INFORMATION OWNER NAME: 4-\i 1 IQ 13 A L/L1) TENANT NAME(If Commercial); OWNER MAILING ADDRESS: STREET 6 3 ( ' Cl (jj(/j/\d r1 ) A �ctY '4 -�'&, STATE ,� zm 4 g C) i OWNER PHONE:- l 1 5 3 ) j 'Tr5D OWNER EMAIL: ' - CONTRACTOR NAME; 'CPI ST VI AI r1. ...-A--\-- F Y ` CONTRACTOR ADDRESS: STREET '{��2 I5 N _Cys Y^-AV'L s ��.'��_�.1` 1 4/\JJ _ /V�� Xj 1 pny D �� u STATE _Al-T A- TIP 1' ^I D 1 CONTRACTOR PHONE: � s VU) �c,M CONTRACTOR EMAIL: V V,W\ ITB AP - �-LU��(�l/>`yIA-Afil', (,DVVj CONTRACTOR LICENSE#(REQUIRED):-FA-s-r '\i)viqL-i D 13 CITY OF EVERETT BUSINESS LICENSE tf(REQUIRED)5 L153 PRIMARY CONTACT: ❑OWNER KCONTRACTOR 0 OTHER(Please Specify) .. _, __ CONTACT NAME: I CONTACT PHONE: /�IMec� '3 1/ \ ./4.-1-1-3 l��rl v CONTACT EMAIL: Ip_ej1 ,Itsc AS_I� ok �r • („0'"I BUILDING PERMIT APPLICATION Existing Use of Building: S Contract Price of Work:$ , f C9 1/4' Proposed USG)Of Building: 'c Heat Source: CILdau ❑Electric D0ther Building Typo: FR-Detached DSFR-Attached ❑Duplex ❑Multi-Family-if of Units: ❑Commercial ❑IndustrIeI Type of Project: ❑New ❑Addition URemodel CKRepalr 0T.I. ❑Sign ©Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: ' \1\r\ D\ie / re cp\AL c k-// -.S LA)oc-\--eAr- Ca,-- ASSOCIATED BUILDING PERMIT#Slf apyllcable): y MECHANICAL PERMIT APPLICATION PLUIVIBINO PERMIT APPLICATION Type of Project: _Now Addn _Alteration d _Repair Type or Project: _Naw _Adn _Alteration ^Repair ~ Fixtures List of Fixtures Fixtures' List of Fixtures Fixtures a o • roe Fixtures Ust of Ixturee - - A/C.-Air Handling Unita Heat Pump T. et Backflow Pr:6enter(Inelde Bldg) tForced Air Systema Unit Heater a athtub Urinal F OpiBoller 0Mash Bssln) J I ) WasaterPlHeater Refrigeration oratory T -hewer Drink •• Fountain Fi..r Drain Gas Fireplace Wood Stove Itch®n Sink&Disposal treuae Trap Gas Range Ducting _ - ,i lshwashor .. Roof Drains Clothes Dryer Hookups Other: 4 lothee Washer . ' edlcal Gas - _ Range Hood =ter Fleeter 0 •:r; Exhaust Fah Sin (Service/Bar/Moi a c), Othe SARIN, ' - - • - :CSSIOS-r!5M _ mica!or W: v..of Heade ACKNOWLEDGEMBiV r I hevo reviewed this application and confirm the Information contained herein is true and correct.Work done pursuant to this permit must comply with current federal,stele+and local law.The granting of a permit only authorizes approved work and no deviations therefrom.Deviations must Oral be eolhornad In writing from the Building OffIolel before being authorized under any circumstance,I em the owner, or I am oufhorized by the owner of inie property to perform the work for which application le made, end I comply with the Stele Contractors Lew 10.27 ROW and 286.200A WAC. City of Everett Official Use Only ,f41 / � -�� PERM, I�# �o��a�( Own= •uthor za. Ag: Signature Date (Revised 0/23/2010