3823 HOYT AVE 2018-01-09 - Laserfiche WebLink

� �1��6�9T A��IC�4�"90� �1699��oi�G / i�6i�CF�6+�il91CA�/ 6��U�d�ONG /SSCR! / S��A�l9�rf�El�/ ��OLO�'oON 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 Q�La�e or �lac6c lesk�nly Please) ��J��`T �I�� IR9��RlIA'P��F� PROJECT SITE ADDRESS: '� � �-� G / J� �'� PROPERTY TAX#: LEGAL for new construction: Short Platlsubdivision Lot No. (attach copy of long legal description) COFd'1"I�CY Y6VFORII�ATIONI OWNER NAME: ,�, • � G c �� TENANT NAME(If Commercial): OWNER MAILING ADDRESS: srReer 7C ( �l ' l `� C W�� -r� � �CL � i - cirv .:�, tl�«'6�� S sT,aTe V % � l , ziP � _ �;. ';�6 OWNER PHONE: (,� � � 7 �� '- , �� l OWNER EMAIL: CONTRACTOR NAME: ,�j��E'-�G�-. ' '�:c'+�� .�r 1��' L�� CONTRACTOR ADDRESS: sTReeT � �� 7 '��'� � ` �' , s,,... CITY L. � �I �.�!•C' .�( STATE �-L' =�� ZIP � � L/ i CONTRACTOR PHONE: r-{�,ij_��-� -j. (: CONTR,4CTOR EMAIL: ��, � �p `_,� ': clt' r ='C'�-�1 �6i L. � _��%'"� CONTRACTOR LICENSE#(REQUIRED):+' '�(!.[_� � '� `�� '-p '�R� CITY OF EVERETT BUSINESS LICENSE#(REQUI ED): PRIMARY CONTACT: ❑ OWNER �CONTRACTOR ❑OTHER(Please Specify) CONTACTNAME: �� r�.-,-„J CONTACTPHONE: �� - =je j-- -� 7 ,� (-, CONTACT EMAIL: �l; ! f. �, �v j -�� „��Z , ;t � �_z% ��1 �UILDINS'a PEIZMIT/4PRLICATIO Existing Use of Building: `�=�,; 't n� f�, 1 Contract Price of W k:$ �� i 9! � �� Proposed Use of Building: -5�'1 �j l�c Heat Source: ❑Gas Electric F�her Building Type: ❑SFR-Detached ❑SFR-Attached ❑Duplex I�Multi-Family-#of Units: ❑Commercial ❑Industrial Type of Project: ❑New ❑Addition ❑Remodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: 7 ' .� ' �� :1,�.�.'� ��.e' �y7��!'�'i - �� • �/ > �C�' �,,�:� �,� �..�� e_, t. � 1 r�- �t—G� i� � l� .�� 5 .`., ��I f r�l� G��-�ttf.�`S. ASSOCIATED BUILDING PERMIT#(if applicable): MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLl�ATION Type of Project: _New _ Addn _Alteration _Repair Type of Project: _New _Addn _Alteretion _Repair #°f List of Fixtures #�f List of Fi res ��f Lisf of Fixfures #°f List rxtures Fixtures Fixtures Fixtures Fixtures A/C—Air Handling Units He ump Toilet Backf reventer(Inside Bldg) Forced Air Systems nit Heater Bathtub al 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 Ho ps Other: Clothes Washer Medical Gas Range Hood Water Heater Other: Exhaust Fa Sink(Service/ arlMop/etc.) Other: SPRI LER/ SUPPRESSIAN SYSTEM C mical or Water No. of Heads ACKNO EDGEMENT.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 autiiorized in writing from the Building Official before being authorized under any circumstance. l am the owner,or I am authorized by the owner of this property to perform the work for whfch application is made, and I comply with the State Contracfors Law�8.27 RCW and 296.200A WAC. City of Everett Official Use Only � � P T# �.�--�'?� -,';-�`,��j.�-- �l� � —� � l -� � Owner/Authorized Agent Signat Date (Revised 9/23/2016) \ � 7. l