2401 CHESTNUT ST 2018-01-12 - Laserfiche WebLink

� PERMIT APPLICATI� BUILDING / MECHANICAL/ PLUMBING /SIGN /SPRINKLER / DEMOLITION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT,VVA 98201 (P)425-257-8810 � FAX 425-257-8857 �(E)everetteps@everettwa.gov� www.everettwa.govlpermits (Blue or Biack Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: 2, (� ( C N��rN V T % r PFtOPERTY TAX#: OD�IO/ �JDO�'I D�O D LEGAL for new construction: Short Plat/subdivision Hp1�C�^,' ��R/ L��' Lot No�CJ"[�/(attach copy of long Iegal description) CONTACT INFORMATION OWNER NAME: GJ� Z, �,(Z.D l��' TENANT NAME(If C��mmercial): � OWNER MAILING ADDRESS: srREEr CITY STATE ZIP OWNER PHONE: Z�(Q" ZZ?'��l� / OWNER EMAIL: �j � '�'(�,��O U'�'�DO� � L bH�'�- ^ CONTRACTOR NAME: y' Z CONTRACTOR ADDRESS: srReer �L S yj'7 E�f D�N T �L�� CITY ,M,E�J��J� STATE ZIP D � CONTRACTOR PHONE: CONTRACTOR EMAIL: CONTRACTOR LICENSE#(REQUIRED): CITY OF EVERIETT BUSINESS LICENSE#(REQUIRED): PRIMARY CONTACT: C�OWNER ❑CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: Z�7i�, ZZ�. 2j 2j 1j�j �'JC�T�C �L�tC�E�--- CONTACT EMAIL: c� �•�-G� � �'jldi'['LbO� . C dl�� - BUILDING PERMIT APPLICATION Existing Use of Building: Contract Price of Work:$ Q -� Proposed Use of Buildin : 5��—� Heat Source: Cr}t�`as ❑Electric ❑Other Building Type: L�FR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units: ❑Commercial �Industrial Type of Project: ❑New ❑Addition C�RRemodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: R�Nov�1� �Nr�Warz--. , + 'D�. l�r� 5�-�i� (uN-�►7tA-cN��• 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 #of List of Fixtures #of List of Fixtures #of List of Fixtures #of List of Fixtures Fixtures Fixtures Fixtures 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 Firepiace Wood Stove � Kitchen Sink&Di::posal Grease Trap Gas Ran e Ductin Dishwasher Roof Drains Clothes Dryer Hookups Other: Clothes Washer Medical Gas Range Hood Water Heater Other: Exhaust Fan Sink(Service/Bar/Mop/etc.) Other: � SPRINKLER/ SUPPRESSION SYSTEM Number of Heads 1/ ACKNOWLEDGEMENT:I have reviewed this application and confirm the information contained herein rs 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 devrations therefrom.Deviations must first be authorized in writing irom the Building Officia!before being authorized under any circumstance.I am the owner,or 1 am authorized by the owner of this property to perform the work for which applicatron is made, and I comply with the State Contractors Law 18.27 RCW and 296_200A WAC. Cdy of Everett Official Use Only I � /� / �� PERMI/h#� ��(� .� �,� -- L i/L �••� Owner/Authorized Agent Signature Date (Revised 5/20/2016) � �� ^ �