1506 PINE ST 2018-01-10 - 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: �i lv �� S•fi, - ��, -'(� Lv�f� PROPERTY TAX#: 7`jC%'=i [��-�c ��-�` ��:� LEGAL for new construction: Short PlaUsubdivision Lot No. (attach copy of long legal description) CONTACT INFORMATtON OWNER NAME: �'• , i �� j�t ,{• TENANT NAME(If Commercial): OWNER MAILING ADDRESS: sTReer � (J� � �f;- CITY �'� STATE ��/ ZIP OWNER PHONE: ��F� �jC�� J �j OWNER EMAIL: , ; ' _�- �, �]i ,�,,��, C�%.'1� CONTRACTOR NAME; � ` �L p �iL�L�16' G C�%'i _� LC� l f=�' !�� CONTRACTOR ADDRESS: snzeer �O �='- �j crrr sf GZa•'1 o-vt%t� � srnrE vjJ� zia ��L�l � CONTRACTOR PHONE: y�rj • �j�� - (.;, ��'� CONTRACTOR EMAIL: .�;�� ,w;,.• �v;1--t-i-�c�':��,. -_�. �- . � CONTRACTOR LICENSE#(REQUIRED): �Uj��G �' ��' CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): PRIMARY CONTACT: ❑OWNER �CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: �` 1 �•�L�r�� tc�✓�-f-�� CONTACT PHONE: .'�� S��'�S _ CONTACT EMAIL: C+L,1 •�r..•-v� '� _ i�=�. '-�'c : -� _c7.-�. BUILDING P�RMIT APPLICATION Existing Use of Building: Contract Price of Work: $ s'r�' f � b �J Proposed Use of Building: Heat Source: ❑Gas ❑Electric ❑Other Building Type: FR-Detached ❑SFR-Attached ❑Dupiex ❑Multi-Family-#of Units: ❑Commercial ❑Industrial Type of Project: $�New ❑Addition ❑Remodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: -.�-� �� _ // � �-L7i�t.� ` �':CC -T� _��='� �'�- �%2/.;/�+-�% C.',l,•(��'l.,,/ j r�!'i�-�"'v'� � �' ASSOCIATED BUILDING PERMIT#(if applicable): MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION Type of Project: _New _ Addn _Alteration _Repair Type of Pr�ect: _New _Addn _Alteration _Repair #of '� #of � Fixtures Lestbf Fiutures Fixtur List of Fixtu�es Fintures ��st of tures Fixtures List of Fixtures A1C-Air Ha dling Units Heat Pump Toilet 8ackflow Preventer(Inside Bldg) Forced Air Sys ms Unit Heater Bathtub Urinal Gas Piping ` Boiler Lavatory(Wash Basin) • Drinking Fountain Water Heater 1: Refrigeration Shower Floor Drain Gas Fireplace Wood Stove Kitchen Sink&Disposaf Grease Trap Gas Range Ducting Dishwasher � Roof Drains Clothes Dryer Hookups `. Other: Clothes Washer Medical Gas Range Hood �`•� Water Heater � Other: Exhaust Fan Sink(Servi�e/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 conect. Work done pursuant to fhis 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 O�cial before 6eing authorized under any circumstance.I 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. ,�_ ,>r f� � City of Everett O�cial Use Only �`'�� {�� '�% � PERMIT# , `'� � ��, c�-�'�-�.-� l� � 1 '� _L . ,/;�,� Owner/Authorized ent Signat Date (Revised 9/23/2016) I IL