7113 JUNIPER DR 2018-01-04 - Laserfiche WebLink

� V��lil�'A��L�C�+�90� �lJ➢L�Ii�C� I fViECHANICA�/ �LUtVV�9Y�� / SIC�! 1 ��RIY��LEF2/ D�fu10�9TIOP�! GTY 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 (�lue or �lacls ln�s �nly �leas�) ��° st�� r��m�-r'�� PROJECT SITE ADDRESS: �j , �j J .., �� ,- � � PROPERTY TAX#: LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CON�ACY IPI�ORMATIOBd OWNER NAME: 9— ,� � l., � ,_ �� _` „ TENANT NAME(If Commercial): OWNER MAILING ADDRESS: srREEr ` � �� � ` ,'_ c� ��Y � � � -� s�aTE w �` Z�P c� z c � OWNER PHOiVE: OWfVER EMAIL: CONTRACTOR NAME; � c `�C �, � - i �- � ., CONTRACTOR ADDRESS: srReeT �'� ••- � �; <. � 'n CIN �1/p., L � � ' L STATF (�,) C— ZIP T `� C� �( CONTRACTOR PHONE: CONTRACTOR EMAIL: CONTRACTOR LICENSE#(REQUIRED): � e SL �^r � b ( C�� CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): Q PRIMARY CONTACT: � OWNER ONTRACTOR ❑ OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: Z U G- 3 �J G � � � C� ��l �� ^ CONTACT EMAIL• BUILDING PERMIT APPLICATION Existing Use of Building: Contract Price of Work: $ Proposed Use of Building: Heat Source: ❑Gas ❑Electric ❑Other Building Type: ❑SFR-Detached �SFR-Attached ❑Duplex ❑Multi-Family-#of Units: ❑Commercial ❑Industrial Type of Project: ❑New ❑Addition ❑Remodel epair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: �y / Z. � ^� � G L � L/✓ C" 1-�� .0 .� �/ - L -C �/ � ._.r� �" 1 � /)� �vl Q Y- '�-r �cJ ��l <� v� �i -L l� �-- �A-« c� ,..� Vj cJ f� 1,..� �_ ��^ � � p �.. i/t J ASSOCIATED BUILDING PERMIT#(if applicable): MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLIC�+ITION Type of Project: _New _ Addn _Alteration _Repair Type of Project: _New _Addn _Alteration �Repair #of List of Fixtures #�f Lisi of Fixfures #�f List of Fixtures #°f Lisf of Fixtures Fixtures Fixfures Fixiures Fixfures 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 1 Other: �:�-,r �-j .t � ,, Exhaust Fan Sink(Service/Bar/Mop/etc.) Other: SPRINf�LEit/ SUPRFtESSION SYSTEM Chemicai or Water 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 Buildmg Official before being authorized under any circumstance./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# ��..... . � i� Z C� C'1 Owner/Authorized Agent Signature Date (Revised 9/23/2016)