3600 SMITH AVE 2018-02-09 - Laserfiche WebLink

8;d/dik9 2 o4' 1/ PEF MITAPPLICATIo• rr BU LDIN :. MECHANICAL f PLUMBING'I SIGN I SPRINKLER 1 a t?.,IT ION CITY OF ElERETT PERMIT SERVICES 3200 CEDAR STREET,EVERE 11,WA 98201 -.--- (P)425-257-8810 I FAX 425-257-8857 I(E)everettapsgeverettwa.gov I www.everettwa.gov/perauts (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS< 1"i-,., i".1-1.1 x % PROPERTY TAX#: Imo 5 E1' =c` "LC.: I LEGAL for new construction: Shprt Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: - 31-0P rtr8 TENANT NAME(If Commercial) ai:f-i i 11 )T r_ 'jL-K c-jr-t)� OWNER MAILING ADDRESS: sTREaT 5 6 C Sr+-a Y--1' `Pis,,;_, COY V<Yom. 1 STATE G"W" " " ZIP -i S t.-C-•. OWNER PHONE: 5`L 3• ( - li S)i OuWNER EMAIL: i.. . 5, -,, S}s , - A.--`/Y1.t),c a-) CONTRACTOR NAME: CONTRACTOR ADDRESS: STREET CITY. STATE ZIP CONTRACTOR'PHONE: CONTRACTOR EMAIL: CONTRACTOR LICENSE#{REQUIRED); CITY OF EVERETT BUSINESS LICENSE#fREQUtREO): PRIMARY CONTACT: Pe6WNER ®CONTRACTOR 0 OTHER(Please Specify) .CONTACT NAME: CONTACT PHONE_ `(,.,moi.-33,s-i-? J i ‹,'--c { t4.>`'_ 'CONTACT EtYIAtL: L-ec V J i,'3 t i i,-).ii 't' '1-' 34-6.4,...-,re),' t A,t. i BUILDING PERMIT APPLICATION Existing Use of Building: Contract Price of Work:$ rlt rr�-- ► ==S 1 'f 4 S dal Proposed Use of Building: Heat Source: DGas 0 Electric QOtther Building Type: ❑SFR-Detached ❑SFR-Attached. ODuplex DMulti-Family-#of Units: ��,,.r QC.ommerciai Elindustrial Type of Project: DNew ❑Addition ❑ m Reodel. ❑ [DTI.I. ❑Sign OI� Sprinkler IDeiolition OGhange of Use DESCRIPTION OF WORK: • I r.,1r'"1 //v.\c.. t `\ v1�\ G 1„1 _5 --(1)r\/ II 1.n ASSOCIATED BUILDING PERMIT#(if applicable): (i0903.r.r ) MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION Type of Project: _New _ Addn _Alteration _Repair Type of Project: _New _Addis _Alteration _Repair #of Rist of Fixtures #of Listitf Fixtures #o•f List of Fixtures #of List of Fixtures ,Fixtures Fixtures -- I` Fixtures A/C-Air Handling Units Heat Pump Toilet Backflow Preventer(Inside amp) Forced Air Systems Unit Heater-' - Bathtub ..T Urinal Gas Piping - Boiler ., gyratory(Wash Basin) Drinkirg Fountain Water Heater' Refrigeration Reshower Floor Drainr Gas Fireplace ,. , Wood Stove .. Sink&Disposal Grease Trap Gas Ran9e Ducting L)ishwasher Roof Drains Clothes Dryer Hookups Other: :EIo#Ites Washer Medical Gas _ Range Hood Water Heater Other: Exhaust Fan Sink(Servi liar/Moplett:) Other: SPRINKLER I;SUPPRESSION SYSTEM,.. [Number of Heads ACKNOWLEDGEMENT:I have reviewed this application and confirm Me information contained herein is true and correct. Work done pursuant to this permitmust 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 Official before being authorized under any circumstance.I am the owner,or I am autherizedby theowner 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 2004 WAC. City of Everett Official Use Only PERMIT# /OverierlAuttiorlzed Agent Signature (Fievised 5/2012018)