3005 VICTOR PL 2018-05-11 - Laserfiche WebLink

liilliS477- PERMIT APPLICATION? BUILDING / MECHANICAL I PLUMBING /SIGN / SPRINKLER I DEMOLITION 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 4°L-'' PROJECT SITE ADDRESS: 7 (J v'' I• - C-' L `�� PROPERTY TAX#: 6( 5 �'I'L'L C 2- LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: k\I Gt-1- .--->A -L--(." ,�-r- TENANT NAME(If Commercial): OWNER MAILING ADDRESS: Zak-,-'( C-4" `t/-L� \. A,'' 1 f� CITY r� { "�I C) . l� 2 STATE ZIP OWNER PHONE: (�C�� lC ' C)� ? ( OWNER EMAIL: N ,AC�I<c.ALLA�k�(E (\ll�-� , Ci % Y� CONTRACTOR NAME: ( (.'' C\-• 1`-/f-i C 17)\ _, CONTRACTOR ADDRESS: STREET CITY STATE ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: CONTRACTOR LICENSE#(REQUIRED): CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): PRIMARY CONTACT: ❑ OWNER 0 CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: *�-- CONTACT PHONE: .2 c" I c _ (4-,-- C C_ L A L r---.0\1' V ( l CONTACT EMAIL: rt X ;P,S--;(-; , l,v,t( 11 CiA1 4IL h 1�% (''L(i\- BUILDING PERMIT APPLICATION Existing Use of Building: Contract Price of Work:$ 2.0)DOD, Proposed Use of Building: Heat Source: ❑Gas DElectric DOther Building Type: ❑SFR-Detached ❑SFR-Attached ❑Duplex DMulti-Family-#of Units: DCommercial ❑Industrial Type of Project: ❑New ❑Addition DRemodel DRepair ❑T.I. OSign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: > f JT (21 O cz cA-1, 1--,'f'I U rJ A f ew fir/:.- \ CA-Rkp " i r\;•(` Z1 J Quo►2SA SA—r.Ew 1 ns ASSOCIATED BUILDING PERMIT#(if applicable): 11' Ni'Vr C'fl127(N• / S i ^-' 1C. 'rC l (--.L71- /V -7 Sous 2 MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION / Type of Project: New _ Addn _Alteration _Repair Type of Project: _New _Addn Alteration Repair #of List of Fixtures #of List of Fixtures #of List of Fixtures #of List of Fixtures Fixtures Fixtures Fixtures Fixtures A/C—Air Handling Units Heat Pump :Z Toilet Backflow Preventer(Inside Bldg) Forced Air Systems C Unit Heater -2_ Bathtub Urinal 1 1 I Gas Piping Boiler 2 Lavatory(Wash Basin) Drinking Fountain J Water Heater Refrigeration Shower Floor Drain Gas Fireplace Wood Stove I Kitchen Sink&Disposal Grease Trap 1 Gas Range Ducting 4)Dishwasher Roof Drains Clothes Dryer Hookups Other: C Clothes Washer Medical Gas Range Hood 1 Water Heater Other: Z Exhaust Fan Sink(Service/Bar/Mop/etc.) Other: SPRINKLER/SUPPRESSION SYSTEM Chemical or Water I No. of Heads ACKNOWLEDGEMENT:l 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 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 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 Everett Official Use Only PERMIT# • 1 . . �L=. . 1 i w 1Ole (a) i 1 _.. Owner/Auth ized Agent Signature Date (Revised 9/23V)16) .' w ( Y