8210 SPOKANE DR 2018-02-09 - Laserfiche WebLink

PERMIT• • APPLICATION BUILDING / MECHANICAL/ PLUMBING / SIGN /SPRINKLER I DEMOLITION ' x - CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET,EVERETT,WA 98201 (P)425-257-8810 I FAX 425-257-8857 i(E)everetteps@everettwa.gov I www.everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: 210 SpoLarte viz (.3 no- 2o3 PROPERTY TAX#: LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) I exit INFORMATION r OWNER NAME; K U T►�f'• it TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET e'Z..-{O > r S.,� De...... (Jr 1-} z.6-3CITY 'S .j--�i,t�{ _ spat-AAA ZIP Ci p',o 3 OWNER PHONE: -12, 14106 -1`11-"M OWNER EMAIL: CONTRACTOR NAME: t 11 e.i4i'MG- CONTRACTORADDRESS: STREET 1t4 3 v"adux C{�� r CrrY t,��,.A.Ye 7!H� STATE WA. ZIP r?2,_o j CONTRACTOR PHONE:4'35 R.59 d5) CONTRACTOR EMAIL: neleFeci r- OIDale letxti4 . cool CONTRACTOR LICENSE#(REOUIRED):CrritItel Mkt S lid fll CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): I COC PRIMARY CONTACT: 0 OWNER r0 CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: (,4 asci rntizt ,,t, ct t'r° CONTACT EMAIL:Met,I" CJh ect i?q •to M BUIL) i PERMIT APPLICATION Existing Use of Building: Contract Price of Work:S t 4'S QCT Proposed Use of Building: Heat Source: ` J11 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 OSprinkler ODemolition ❑Change of Use DESCRIPTION OF WORK: 111, SV-7-1Z, CO rOC I. no '^V I^��D Ru� ?4(�.Ce_ SJ �=e li v\- RIS { i— 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 #of Fixtures List of Fixtures List of Fixtures #of List of Fixtures #of List of Fixtures Fixtures Fixtures 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 1 Water Heater Refrigeration ,, Shower Floor Drain Gas Fireplace , Wood Stove r Kitchen Sink&Disposal Grease Trap Gas Range Ducting Dishwasher -Roof Drains Clothes Dryer Hookups Other: Clothes Washer Medical Gas Range Hood W Water Heater Other: Exhaust Fan Sink(Service/Bar/Mop/etc.) Other: SPRINKLER I SUPPRESSION SYSTEM Chemical or Water I No.of Heads ACKNOWLEDGEMENT.I have reviewed this 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 law.The granting of a permit only authorizes approved work end 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 authorized by the owner of this property to perform the work for which application is made, and I comply with the State Contractors Law 18.27 RCW and 296.200A WAC. ( `City of Evere2tt Officiall Use Only/ / r f 44.4t. 31 �7 PE' 1 1 3 ` ` 2 ' I Owner/Authorized Agent Signature Date (Revised 9/23/2016)