2316 TAYLOR DR 2018-01-04 - Laserfiche WebLink

� PERMIT APPLICATION, BUILDING / MECHANICAL/PLUMBING /SIGN /SPRINKLER/ DEMOLITION 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 Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: � �\ �u'' �"`f �1rt�i'Z��- PROPERTY TAX#: CJlJ �l J , �LU�'J i%r�/G j LEGAL for new construction: Sh i ' ion Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: �� ',� �C,j��r- TENANT NAME(If Commercial): OWNER MAILING ADDRESS: srReer ' �?� (�j,� �i^ '_ /i � CITY �/''L,�•� STATE VV� ZIP � �`U� OWNER PHONE: "! 1 S • �S�r- � �J� OWNER EMAIL: CONTRACTOR NAME: SY�I'7 /��j✓- �,t�,j CONTRACTOR ADDRESS: srREET �p� �Tj �' �� ,�' �� � GTY (�� STATE � Z�P CONTRACTOR PHONE: ,�` � � ?S'� � �I�� CONTRACTOR EMAIL: CONTi2ACTOR LICENSE#(REQUIRED): S� SS M IV L ��(�'�CITY OF EVERETT BUS�NESS LICENSE#(REQU ED): PRIMARY CONTACT: ❑OWNER �CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: (� -J(� - S � 1" L�I� �;7,��i f.� CONTACT EMAIL: �f-�`�/fU. � � ��-� rG`"+Gt �(�(�1.�.� BUILDING PERMIT APPLICATION � Existing Use of Building: Contract Price of Wor vUU J Proposed Use of Building: Heat Source: ❑Gas ❑Electric ❑Ot r Building Type: ❑SFR-Detached SFR-Attached ❑Duplex ❑Multi-Family-#of Units: ❑Com ercial ❑Industrial T pe of Pro'ect: ❑New �Addition ❑Remodel ❑Repair ❑T.I. ❑Si n ❑Sprinkle ❑Demolitio ❑Chan e of Use DESCRIPTION OF WORK: _� Vi� �un-�r7 �e�5'r�� - � ASSOCIATED BUILDING PERMIT# if applicable : MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION Type of Project: New Addn Alteration Repair Type of Project: New Addn Alteration Repair Fixtures List of Fixtures Fixtures List of Fixtures Fixtures List of Fixtures Fixtu es List of Fixtures A/C-Air Handling Units Heat Pump Toilet Backflow Preventer(Inside Bldg) Forced Air S stems Unit Heater Bathtub Urinal Gas Piping Boiler Lavatory(Wash Basin) Drinking Fountain Water Heater Refrigeration Shower Floor Drain Gas Fire lace Wood Stove Kitchen Sink&Dis osal Grease Trap Gas Range Ducting Dishwasher Roof Drains Clothes Dryer Hookups Other: Clothes Washer Medical Gas Ran e Hood Water Heater Other: Exhaust Fan Sink(Service/Bar/Mop/etc.) Other: SPRINKLER!SUPPRESSION SYSTEM Chemical 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 deviafions therefrom.Deviations must first be authorized in writing from the Building OKicial before being authorized under any circumstance.1 am the owner,or 1 am authorized by the owner of this property to perform the work for which application is made, and!comply with the State Contractors Law>f3.27 RCW and 296.200A WAC. ._.� City of Everett Official Use Only PER IT �--�-�- .� �-- i s �- �7 � Co -d� CQ `Owner/Authorize Age Signature Date (Revised 9/23/2016)