3715 FRIDAY AVE 2018-01-08 - Laserfiche WebLink

� � PERMIT APPLICATION BUILDING /MECHANICAL/ PLUMBING /SIGN /SPRINKLER/DEMOLITION ' CITY OF EVERETT PERMIT SERVICES � 3200 CEDAR STREF_T,EVERFTT,WA 98?_01 (P)425-257-8810 � FAX 425-257-8857 �(E)everetteps@everettwa.gov� v,Mnv.everettwa.gov/permits PROJECT SITE INFORMATION I ^ PROJEC7 SITE QDQRESS: PROPERTY TAX#: I - . . � ._ = t 1>!a.' (�i�:: L vE VZt Td G.d `1�Lc� LEGAL for new construction: Short Plat/subdivision Lot No. _ (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: Z _N v TENANT NAME(If Commercial): i � OWNER MAILING ADDRESS: srReer '9,�..�E - y'/T� II CITY STATE ZIP I OWNER PHONE: OWNER EMAIL: � i CONTRACTOR NAME; O W,�1r� i CONTRACTOR ADDRESS: sTReer i CITY STATE 71P I CONTRACTOR PHONE: CONTRACTOR EMAIL: i CONTRACTOR LICENSE#(REQUIRED): CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): PRIMARY CONTACT: ❑OWNER ❑CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: i CONTACT EMAIL: i BUILDING PERMIT APPLICATIO �`�; � Existing Use of Building: Contract Price of W � ' �� � Proposed Use of Building: Heat Source: ❑Gas ❑Electric ❑Other j Building Type: ❑SFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units: ❑Commercial ❑Industrial � Type of Project: ❑New ❑Addition ❑Remodei ❑Repair ❑T.I. ❑Si n ❑S rinkler ❑Demolition ❑Change of Use � a i DESCRIPTIONOFWORF��C� VFF c?c�_siiNG GAj `(�� F►2+%.n� (�u2.t1A�� ,�PR(Lc:J( ZL;� IC GAJ'RA��10E 2 �cE oFF L�AS �[-�1E �4T jZAv��c � TPPN=i� 10--ij �� '?c FI/Lc'��,acc` FG� FUrUZE C-,ft� c:,�1�T, t I' i ASSOCIATED BUILDING PERMIT#(if applicable): i MECHANICAL PERMIT APPLICATION 'PLUMBING PERMIT APPLICATION c Type of Project: _New Addn Alteration _Repair Type of Project: _New _Addn _Alteration _Repair ` #of Lisi of Fixiures #�f List of Fixtures #of List of Fixtures #°f List of Fixtures Fixtures Fixtures Fiutures Fiatures 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 Ffoor Drain r Gas Fireplace Wood Stove Kitchen Sink&Disposal Grease Trap li� Gas Range Ducting Dishwasher Roof Drains ;; Clothes Dryer Hookups Other: Clothes Washer Medical Gas Range Hood Water Heater Other: I; Exhaust Fan Sink(Service/BarlMop/etc.) Other: ;p a SPRINKLER/SUPPRESSION SYSTEM ` Number of Heads � ACKNOWLEDGEMENT 1 have revrewed this applrcation and conlirm the informafion contained herern is true and correct.Work done pursuanf to this permit must comply wifh �� current federaf,state,and locailaw.The granting of a permit onty authorizes approved work and no deviations therefiom.Deviatrons must first be authorized in w�iting(rom the Building Official before being authorized under any circumstance.1 am the owner,or I am authorized by ti�e owner of this property to perform the work for wh�ch applicatron is made, '!I and l comply with the State Contractors Law 9827 RCW and 296.200A WAC. II City of Everett Official Use On/y ij i; µ � I�II � t� PERMIT# '�� ^ { � / � ; Owner/Authorized Agent Signature Date (Revised 10/12/2015) s I�