3625 EVERETT AVE 2018-01-03 - Laserfiche WebLink

� ��nni� �,��ac�,�io�� �IJILDING / i�IECFiANIC�4L I C'LUIVI�IP�� / SICN / SPRARII�aLEf�/ D�MOLITION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET,EVERETT,WA 98201 (P)425-257-8810 � FAX 425-257-8857 �(E)everetteps@everettwa.gov� www.everettwa.gov/permits (Blue or �lack 1e�9� �n9y �le�s�) PR�JECT SITE 16dFOltl�d4"Y'10� PROJECT SITE ADDRESS: �� <-� `-� � V�N�C'�I-' N VC' � �G I PROPERTY TAX#: LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) COWTACT IPIFORMATION OWNER NAME: ��_�•� ` (,L:�N7� � `'�j+=�C �.,(_ TENANT NAME(If Commercial): OWNER MAILING ADDRESS: srREeT =i,fj��_�, l=V�}2 t,�� AV L= � �L: CI"IY � L�. L-��I^ STATE V�^� ` ZIP (1`'�L -C.-�� OWNER PHONE: �- �� >, '�X-Y�'� �3��'��> OWNER EMAIL: CONTRACTOR NAME: �1-�� _D 3�;`>`l �'-1..�'- I iv (�(. �- CONTRACTOR ADDRESS: srReeT � (�� - �� -S �� v �. INI CITY �,��I �- I �-C/ STATE �•�j � ZIP t��G- 7�— CONTRACTOR PHONE:�(,i��,1��;(l, 7C..' ( Z CONTRACTOR EMAIL: (�.�"f1�: I�'—/_f:_�I � �'' � - G �'�C .Ll% 1 : �'1 Ff- CONTRACTOR LICENSE#(REQUIRED): (J�.��.A C-L�� CITY OF EVERETT BUSINESS LICENSE#(REQUIRED);/ ` J PRIMARY CONTACT: ❑ OWNER �CONTRACTOR ❑ OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: i..'-Z��, ��_Z_ ,G�� , :.K� r'l `��1-��-�i �I CONTACT EMAIL: �.I I'Y1:fifi��C�l � �_�)r�«-�S"f , ✓1 F� BUILDINC; PERMIT APPLICATION Existing Use of Building: 1'�`�GC_i_r� �',�� Contract Price of Work: $ � � �, Proposed Use of Building: �'�' � i Ck: v�h� Heat Source: ❑Gas ❑Electric ❑Other c�� D�� Building Type: ❑SFR-Detached �SFR-Attache� ❑Duplex ❑Multi-Family-#of Units: ❑Commercial ❑Industrial Type of Project: ❑New ❑Addition Remodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: � �_ �e��l��'.c �}� I`rY�l� �-1 i,�b i,v i�-I ►� r��l'l- i�� >h�;��,,'c'r-. �I'e✓�_`s {�(,;.,��n h,�LJ �: `;c ll.r'c��;. G<�cti '-{�� ;^✓��Lf�t" C�.V"C�_\ �'1 � �'�^ i'1 C C Cl`C`S�l i J'�Ci t.t j✓lty i S rY1'�i vlc `� V sC�VP C-'f"C, V C �Y��1_I�`i �C,„L; �-��-- ASSOCIATED BUILDING PERMIT#(if applicable): L��-t~('�`> h� � (��>�e'G �'1L��'Y��'i��v��r v`, MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLI��TION Type of Project: _New _ Addn _Alteration _Repair Type of Project: _New _Addn �Iteration _Repair #of List of Fixtures #of Lisi of Fixtures #�f List of Fixtures #°f 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 Chemical or Water No. of Heads ACKNOWLEDGEMENT.1 have reviewed fhis 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 Officral before being authorized under any circurnstance. I arn the owner,or I am authorized by the owner of this property to perform the work for which application is made, and 1 comply with the Sfate Caitractors Law 18.27 RCW and 296.200A WAC. City of Everett Official Use Only G,j� �,� '�t' !� � PERMIT# ��--�... -�� , �� , _ o (� Owryer/Authori ed A�, Signature ' Date (Revised 9/23/2016) _ �'' ., /, �