4320 TERRACE DR 2018-02-09 - Laserfiche WebLink

12/05/2017 TUE 13: 42 FAX Fast Water Heater 0006/003 • . 016) A PERMIT APPLICATION , A: BUILDING I MECHANICAL I PLUMBING /SIGN/ SPRINKLER/ DEMOLITION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET,EVERETT,VVA 38201 (P)425-257-5810 I FAX 425257-8857 I(F)evarettepsgieverettwagov I www.everettwea-gov/pormlts JBlue or Black Ink Only Please) PROJECT SITE INPORMAT1ON PROJECT SITE ADDRESS: 30 yr ctolP iI2- PROPERTY TAX 1#I 00(-J -50/1-9--()De901 LEGAL for new construction: Short Plat/oubdlvIelon Lot No, (attach copy of long legal description) i;j • • CONTACT INFORMATION OWNER NAME: 1 V �� I Y I e K ►S _ TENANT NAME(If Commercial); ------- OWNER MAILING ADDRESS: aT IEEr y 5 T I raze. pg., e, f►/'` 4-t STATE (A.)74) 41' J , i/✓ . OWNER PHONE; �s�L9 33((LI' OWNER EMAIL: CONTRACTOR NAME: ' ,0\ST ,A"i `2-A` e ` ' 1 r CONTRACTOR ADDRESS: STREET 1 La �� N Q Y-�1U I S - � l_D 1p Cn, 9 V STATE LA A- 21P 1 iJ D\\ CONTRACTOR PHONY;: L0 _Q-6u^--D D-1 CONTRACTOR EMAIL: f .Vi() \TS 4,ShiJa4ka--\-eir f ' . (,� CONTRACTOR LICENSE#(REQUIRED):f4ST A A)\ (7H R SC CITY OF EVERETT BUSINESS LICENSE#(AEQUJRED)5D L153 PRIMARY CONTACT: ❑OWNER CONTRACTOR 0 OTHER(Pleaae Specify) CONTACT NAME; w n �( f, LI CONTACT PHONE: LI / .3(,...p -- 1 I—f'n� 1`S - v-- CONTACT EMAIL: I' , e % SSA J/' ' AL,--ire/r. Cyt1 _ BUILDING PERMIT APPLICATION ExistIng Use of Building: 5 fr� ,2a Contract Price of Work:$—.1 2„1,3S,_____ Proposed Usa of Building; r Heat Source: ❑Gas iStlectrIc ❑Other Duiiding Type: 04FR-Detached OSFR-Attached DDuplex DMultl-Pamlly-#of Unita. L1Commerclal °Industrial Typo of Project: IlNow ❑Addltlon ❑Rernodol 10 Repair ©TJ.' DSlgn ©Sprinkler ODemolltlon OChhno of Use DESCRIPTION OF WORK: p\Je_, / re cp1 A Ce et-e,Gam► G w a-A--air f o\,fi ASSOCIATED BUILDING PERMIT*(If eppllcebieL — • MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION Type of Projoct: New_ Addn ,Alteration R . r Type of Project' , New ,_.,Adds AlterationRepair it ofLtat'of Flxtu #°r Lie •f Fixtures #or List of Fixtures °/ List of Fixtures Flxfur Fixtures Fixtures Fixtures NC--AIr Handling Un( ''[Pump - Toilet Backflow Preventer(nside Bldg) Forced Air Systems nit Heater Bathtub Urinal Gas Plping _ Boiler Lavatory(Wash Basin) Dr-Inking _ king Fountain Water Heater Refrigeration Shower Floor Drain _ Gas Fireplace Wood Stove Kitchen Sink&Disposal Grease Trap _ Gee Range Ducting Dishwasher Roof Drains _ Clothes Dr er H. ups her: Clothes Washer Medical Gas ante Ho•• - Water Heater Other: ` Exhaust Fen Sink(Service/Bar/Mop/etc) Other: SPRIN JR4 U P ESSIOJLS ; I ()mica'or`W�1$c: .of Heade .. r ACKNOWLEDOEMOT;I have reviewed this application end confirm the information contained herein is true end correct-Work done pursuant In this permit must comply with current federal,state,and local law-The granting of a permit only authorizes approved work and no deviations therefrom.Deviations most Rist be authorized to writing from the Building Offiolef before being authorized under any circumstance"I em the owner,ori em authorized by the owner of thio properly to penbrm the work for-which application Is made, end I comply with the Stale Contractors Low 10-27 ROW and 290.200A W,AC. Coy of Everett Offlafef Use only ..),At. q4Q-1.Al g '5-`/ a PECNT- — — Own uthorSeAg sianeture Date (Revised D/23/2018)