7717 GRANT DR 2018-01-18 - Laserfiche WebLink

• I'ERMiI'APPLICATIOI'• BUILDIIVG I IVIECHANICAL/ F'LIJM�IIVG / SIGN / SPRIIVKLER / DEIlnOLITION CITY OF EVERETT PERMIT SERVICES EY 3200 CEDAR STREET,EVERETT,WA 98201 (P)425-257-8810 � FAX 425-257-8857 �(E)everetteps@everettwa.gov� www.everettwa.gov/permits ; ' PRO.JECT SITE:INFORMl�1TI:ON ' ' ' , ; PROJECT SITE ADDRESS: -�: �, �•�� / PROPERTY TAX#: U�i,-7`�c Uv jUv`�(x,, U��.T�� LEGAL for new construction: Short Plat/subdivision 6�=�G��7 f'�� Lot No. E> (attach copy of long legal description) CON'TA�T INFOI2PNATIOP! OWNER NAME: G N�� CS% TENANT NAME(If Commercial): OWNER MAILING ADDRESS: sTReeT ��7 �'�'�''r D"e CITY ]�V�F—�-E7� STATE W� ZIP �j v 2L'1 OWNER PHONE: �2� 7 � � �4 Z-Z OWNER EMAIL: c N u G!��-`'c3�� '' `�C'�•��'^� CONTRACTOR NAME: I�/a-�.�i-r�- C�A�.4�,ES I �L CONTRACTOR ADDRESS: sraeeT 2(=C��f C�"-�3 �-�+'G U^',r � CI7Y 1 V G�� STATE � ziP �i��/ CONTRACTOR PHONE: �--Zj SG f� �7��Z CONTRACTOR EMAIL:DIK-L-A2 ��= C>/1'+A�L � �''/�"'� CONTRACTOR LICENSE#(REQUIRED): ��w=E�j ��-� N CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): PRIMARY CONTACT: ❑OWNER CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: �j-Z� �G�� -�5 2- �l� ��s��.yC CONTACT EMAIL: j'L►�Ly--A��'CrUl� ��./w�-'iL - �-ca�'' BUI`LDING PERMIT APPLICATION ,I , _. _ _ __ Existing Use of Building: Nv�v� Contract Price of Work:$ �Y� VC'(' '�'' � ,..� Heat Source: ❑Gas ❑Electric ❑Other �U''�� Proposed Use of Building: (�.4-�` Building Type: C-3�FR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units: ❑Commercial ❑Industrial Type of Project: ❑New `Addition ❑Remodel ❑Repair C1T.1. ❑Sign OSprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: �-��N ST I��c-; ��Y'-�� 4�'�' �}`�' �t �A4'-AG—� AS50CIATED BUILDING PERMIT#(if applicable): 'MECHANICAL PERMIT APPLICATION PWMBING PERMIT APPLICATION Type of Project: New Addn _Alteration _Repair Type of Project: _New _Addn _Alteration _Repair #of List of Fixtures #°f List of Fixtures #of List of Fixtures #of List of Fixtures Fixtures Fixtures Fixtures Fixtures A/C-Air Handfing Units Heat Pump Toilet Backflaw 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/Bar/Mop/etc.) Other: SPRINKLER/SUPPRESSION SYST.EM Number of Heads ACKNOWLEDGEMENT.•1 have reviewed this application and confirm the information contained herein is true and cor�ect. Work done pursuant to this permit must comply with current federal,state,and local law. The granting of a permif only authorizes approved work and no deviations therefrom.Deviatia�s must first be authorized in writing from the euildrng Official before berng authorized under any circumstance. 1 am fhe owner,or 1 am authorized by tlte owner of this property to perform the wo�k for which application is made, and I comply with the State Contractors Law 18.27 RCW and 296.200A WAC. City of Everett OKicial Use Only � -' / PERMIT# � � ` D�� I� ;� �/f j� 3/�//� b � c-� C.� y� Owner/Authorized Agent Signature Date (Revised 10/12/2015)