9506 7TH AVE SE 2018-02-23 - Laserfiche WebLink

• PERMIT APPLIC�.TIOtV• BUILDING/ MECHANICAL/ PLUMBING /SIGN /SPftINKLER/ DEMOLITION C1TY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET,EVERETT,WA 98201 (P)425-257-881 D � FAX 425-257-8857 �(E)everetteps@everettwa.gov� www.everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFOItMAT10N PROJECT SITE ADDRESS: �' ��"� ` � `` PROPERTY TAX#: ��6� � L't��, I � LEGAL for new construction: Short Piat/subdivision Lot No. (attach copy of long legal description) CONTACT IfdFORMA7'ION OWNER NAME: L" P c, 'r�. � ��" �NANT NAME(If Commercial): ��, , OWNER MAILING ADDRESS: sTReer � � ,� s . / i CITY � � ` STATE �y'V� ZIP t . OWNER PHONE: "1 � •- �e� �.� v"?� ` OWNER EMAIL: ,�' �,� !G},� ��'� '� � `""� 'h ��a� ) � -�v1/�'Tz./L<�� _ ..__ .. . ..._. _._. _. . ._._._ .,.. ._._ .____ . , - - _ __.. ._. _., _. _ - - - _. ._. ......,. . CONTRACTOR NAME: � 'I� � ✓i :� a 6 �' �"�"� 7��v�' "�' ' � CONTRACTOR ADDRESS: sTRE� �� '��. ,� . � � � CITY .�/� � STATE � ZIP ��/�`� CONTRACTOR PHONE: � - � ' �f � CONTRACTOR EMAIL: CONTRACTOR LICENSE#(REQUIRED): ` �'�:�' � t3�y,j�`g't- CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): U 7�j� _._.._...... . ..._....._ . .._..... PRIMARY CONTACT: ❑ OWNER CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: J�� CONTACT PHONE: �. �� g � � (�� l ,� CONTACT EMAIL: , � �J� �-.✓`. � ti�iv�ti ��7 a BUILDING PERMIT APPLICATiOt� Existing Use of Building: ��j Contract Price of Work:$ s �J � 0 OU Proposed Use of Building: y r ---� Heat Source: [�Gas ❑Electric ❑Other Building Type: ❑SFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units: ❑Commercial ❑Industrial Type of Project: ❑New ❑Addition Remodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK:' ' ,1�'1� � ��-� 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 Lisf of Fixfures #�f List of Ftxfures #�f List of Fixtures #°f List of Fixtures Fixtures Fi�cfures Fixfures Fixtures 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 Floor Drain Gas Fireplace Wood Stove Kitchen Sink&Disposal Grease Trap Gas Range Ducting ` Dishwasher Roof Drains ` Clothes Dryer Hookups Other: Clothes Washer Medical Gas Range Hood Water Heater Other: Exhaust Fan Sink(Service/BarlMop/etc.) Other: �PRIM1�(��It/S�PPFt�SS1AIV SXST�IVI Number of Heads ACKNOWLEDGEMENT:I have reviewed this applrcation and confirm the information contained herein is true and correcf. Work done pursuant to this permit must comply with current federal,state,and local law. The granting of a permrt on/y authorizes approved work and no deviations therefrom.Deviations must first be aufhorized in writing from the Burlding Official before being authorized under any circumsfance.I am the owner,orl am authorized by the owner of this property to perform the work for which application is made, and 1 comply wrth the State Contractors Law 18.27 RCW and 296.200A WAC. Cify of Everett Official Use On/y � PERMIT#� � ~ �^ �' ` `° ' � -� _ ;� �,,� ��., '�,' . � � '' `�1�1' Owner/Authorized Agent Signature Date (Revised 5/20/2016)