5029 W VIEW DR 2018-02-09 - Laserfiche WebLink

III • 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 425-257-8857 1(E)everetteps@everettwa.gov( www,everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: 502,41 L( t ll eui Or PROPERTY TAX#: LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: art,' all<f.x" TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET SQ Zq west vieto ar �^ t CITY ev erIP. t STATE W A zip '38 20 3 OWNER PHONE: '7 25 25 S si 30 OWNER EMAIL: CONTRACTOR NAME: ( f -1 (c CONTRACTOR ADDRESS: STREET 14.� I✓ro&u CITY GA j,,: 1 STATE J i 1.zip U 2 o I so CONTRACTOR PHONE: 1.--L ^'S -3ctc::)� CONTRACTOR EMAIL: t\2 e,, hxr tI .coal CONTRACTOR LICENSE#(REQUIRED}}:l.rl r)t"I C'5R 1 CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): j 0Cpt g PRIMARY CONTACT: 0 OWNER [ CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME:[��y CONTACT PHONE: L. »2S 255 D' SO I Debt CONTACT EMAIL:c l!�a ea ,,,,,,,,,,,„4„„ii*�rr't,i9 r ' t BUILDING PERMIT APPLICATION Existing Use of Building: Contract Price of Work:$ qgoo,.o Proposed Use of Building: Heat Source: ❑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 ❑Demolition ❑Change of Use DESCRIPTION OF WORK: I V)sfat) dvc7t-/e5 hiatpunt(' 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 #01 List of Fixtures List of Fixtures#-of Fixtures List of Fixtures Fixtures List of Fixtures Fixtures Fixtures A/C—Air Handling Units I Heat Pump Toilet Backflow Preventer(Inside Bldg_) Forced Air Systems Unit Heater Bathtub Urinal Gas Piping Boiler Lavatory(Wash Basin) Drinking Fountain Water Heater .Refrigeration Floor Drain Gas Fireplace WWood Stove -Kitchen Sink&Disposal Grease Trap Gas Range Ducting Dishwasher Roof Drains Clothes Dryer Hookups 'Other: Clothes Washer Medical Gas Range Hood Water Heater Other: • Exhaust Fan Sink(Service/Bar/Mop/etc.) Other: SPRINKLER I SUPPRESSION SYSTEM Chemical or Water 1 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 and no deviations therefrom,Deviations must first bo 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 PER # 0 erlAutharized Age Signature Date (Revisal 9/23/2016)