3402 SMITH AVE 2018-02-09 - Laserfiche WebLink

w • 4En- PERMIT APPLICATION BUILDING/MECHANICAL/ PLUMBING /SIGN /SPRINKLER/ DEMOLITION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET,EVERETT,WA 98201 (P)425-257-8810 I FAX 425-257-8867 I(E)everelteps@everettwa.gov I www.evereltwe.gov/permits (Blue br Blaak,lnk On13/Please) PROJECT SITE INFORMATION` PROJECT SITE ADDRESS: PO 2._ 51i141 y1-) At(/Q PROPERTY TAX#:7-7QE,?E.ctOC22 Ot' C'd; LEGAL for new construction: Short Platlsubdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION . OWNER NAME: lF'C•4_ f?eo2,lr Tt)v 1 _TENANT NAME(If Commercial): ' — i.:;" OWNER MAILING ADDRESS: STREET Po Ci/ . 11 0 1 CITY r ( t �i 1 t :�r.tri; V STATE �,.�,��-; ZIP �( � - c OWNER PHONE: r OWNER EMAIL: 6(_)651-0 •':i....:. -c-06 ,,e- w,/ CONTRACTOR NAME: lrbr' Hees Ti VI q CONTRACTOR ADDRESS: STREET 3q0, Evevfey 1 CITY EVaryeTT STATE ,/4 zip TgaOI i CONTRACTOR PHONE: 112.6=3Qey- 6rP 7 CONTRACTOR EMAIL:okratt.t.,,v,)GSHeim: lues 014.1 CONTRACTOR LICENSE#(REQUIRED): 661-40(24. ,*CeNe'/R V( CITY OF EVERETT BUSINESS LICENSE N(REQUIRED):+Ct6Tr i PRIMARY CONTACT: ❑OWNER CONTRACTOR El OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: LI2 3 Q'-6; o I VC"Miatic4 4 FGr. rev CONTACT EMAIL:Tow, _ �+ s(-fP_4.7tbt+". ebb 1 .BUILDING PERMIT ARPI ICATION • , .. . Existing Use of Building: Contract Price of Wo' :$ 3 6''1 Proposed Use of Building: Heat Source: ❑Ga! DElec ' ❑Other Building Type: ❑SFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units: tWommercial ❑Industrial Type of Project: ❑New ❑Addition ❑Remodel ❑Repair CT.!. ❑Sign ❑Sprinkler ❑Demoliilon OChange of Use DESCRIPTION OF WORK: t f T"' R�ilceC I� , UVI 1� F/Ec.GY ,(/ 14/1 7 vi 1./K� I� �I�,,�� . l \ni2.__- ASSOCIATED BUILDING PERMIT#(If applicable): MECHANICALPLRMIT.APPLlCATION PLUMBING:PERMIT!APPLICATION'S Type of Project: _,New_ Addn _Alteration _Repair Type of Project: _New _Adds _Alteration _Repair #of Fixtures List of Fixtures F # let of Fixtures Flxturos List of Fixtures Fixtures List of Fixtures A/C-Air Handling Units Hee Pump Toilet Backflow Preventer(Inside Bldg) j Forced Air Systems j Un Heater Bathtub Urinal & Gas Piping oiler Lavatory(Wash Basin) Drinking Fountain f Water Heater Refrigeration Shower Floor Drain Gas Fireplace Wood Stove Kitchen Sink&Disposal Grease Trap g Gas Range Ducting Dishwasher Roof Drains f Clothes Dryer Hookups Other: Clothes Washer Medical Gas 1 Range Hood Water Heater Other: Exhaust Fan Sink(Service/Bar/Mop/etc.) Other: 5 RINKL'ER/SUPPRESSION'SXSTEM,` Chemical or Water ' No.of Heads ACKNOWLEDGEMENT:I have revlewels 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 lacy T egranting of a permit only authorizes approved work and no deviations therefrom.Deviations must first be authorized in writing from the Building Official before being,a14Jzed under any circumstance.I am the owner,or I em authorized by the owner of this property to perform the work for which application Is made, and I comply with the Slate-Co tractors Law 18.27 RCW and 296.200A WAG City of Everett Official Use Only PE f r' 1 v Owh r/ horized A ent'*�gnatiure Date (Revised 9/2/2016) (2-