6710 LARIMER RD 2017-11-17 - Laserfiche WebLink

• PE • RMIT APPLICATION ". BUILDING/MECHANICAL I PLUMBING I SIGN I SPRINKLER I DEMOLITION _-�j"b��r',_-ti� CITY OF EVERETT PERMIT SERVICES J' =!- /7. 3200 CEDAR STREET,EVERETT,WA 98201 (P)425-257-8810 I FAX 425-257-8857 I(E)everetteps@evereftwa.gov I www.everettwa.gov/permits RORCosiii. i0.ii s:qual ®in><ij PVoos6) Its.GkeijC . 5P. 0 •VNO®tfili `( O ( . • ... " , " rPROJECT SITE ADDRESS: 6;7/0 1-1--e/lrci(E/2 /i PROPERTY TAX#: LEGAL for new construction: Short Plat/subdivision Lot No. (attach gopy of long legal description) . ,. _. . ., .. . . .06t�7`,iTO'�'�tai ®1RI111A'Q 9'i.Hd : • .. .. _ • . OWNER NAME: I Ate-, e A.,,_. to C--,50.,--/ TENANT NAME(if Commercial): OWNER MAILING ADDRESS: STREET 6 l/6, (Art!vv�(-7--t I erre Et/r✓/ —7 STATE vt el , ZIP C7gc..0 g i OWNi=R PHONE( L .,... ;- ✓..2( ;ci'. 1'..._ OWNER EMAIL: .. . CONTRACTOR NAME: (O(„=t? t, tkLt� Ott e AL CONTRACTOR ADDRESS: STREET 2-1ZO P,4�±Le - CITY �' STATE LOA ZIP Gl 6 2E,/ t CONTRACTOR PHONE: N2...5, `ZSZ- 3((L(- CONTRACTOR EMAIL: (2i-VL( .L- i'1(4..)41.1.=00 itef CONTRACTOR LICENSE#(REQUIRED): c -tZ+✓ sp.� trr-- _ „rc CiTY OF EVERETT BUSINESS LICENSE NREquIREO):00785-5 i PRIMARY CONTACT: O OWNER CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: ((�Zc) sad—e771Z-- 12._t(...) CONTACT EMAIL; t/L-4 a g517'Ite .•eem :•.BWLDINC.PRRIVIIT:AR.0AT1®N • • . ' Existing Use of Building: en Contract Price of Work:$_ � � Proposed Use of Building: (Heat Source: ❑Gas pElecfric ❑Other p Building Type: (CSFR-Detached ❑SFR Attached ❑Duplex ❑Multi Family#of Units: ❑Commercial ❑Industrial Type of Project: ❑New ClAddition ❑Remodel Repair CiT.!, ❑Sign OSprinkler ❑Demolition OChange of Use • DESCRIPTION OF WORK: A y�- l�Ai �� Com- I (,-lr�C�2.1 c -k--(--4_,--4-Ace,• ASSOCIATED BUILDING PERMIT* if applicable): .::.'M0CHA lJCA4,POttiifiRT'AF PLIC TION' • `. PL.40110IN& PlERt 1111 APPI;.JCAtidM : ' • Type of Project: _New Addn Alteration _Repel:* Type of Project: New _Addn _Alteration Repair of °f List of Fixtures List of Fixtures #°f List of Fixtures ti°f List of Fixtures Fixtures Fixtures Fixtures Fixtures A/C-Air Handling Units 1 Heat Pump Toilet Backflow Preventer(Inside Bldg) 1 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 i 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: :,,::�,; S1�.k�1 k'' i.01 /g Yj?flb (iddifei 11; 1fb`17'DM• :. Number 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.iJeviations must first be authorized in writing from the Building Official before being authorized under any circumstance.i am the owner,ori am authorized by the owner of this property to perform the work for which application is made, end I comply with the State Contractors Law 18.27 ROW and 296.200A WAC. City of Everett Official Use Only )ZL,I.,. / ; /yrs_"/7 flERM!T# I� lit(z 1 Owner/Authorized Agent Signa da Date (Revised 5/20/2016) 1