3411 WAVE DR 2018-02-09 - Laserfiche WebLink

OLT PERMIT APPLICATIO BUILDING ECHANICAL / PLUMBING / SIGN rgrPRINKLER / 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 I www.everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: 34//I (A)4vi-_- DR_ PROPERTY TAX#: 005 7 17O07OOed'0 O LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) AlCONTACT INFORMATION OWNER NAME: 1/11 R /ADQi0A 1-0 TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET 341/I1 A /t}V 1J i O G yy�� p 7 CITY Ve t.E STATE W4 ZIP 4)02_& 7 OWNER PHONE: �+ OWNER EMAIL: 5001-14CONTRACTOR NAME: 5OCfI C/,�,(h`"/ 7/ PLV/1/1(3 CONTRACTOR ADDRESS: STREET d� I I mQ 9/�6�7� /.�V CITY IL ', AXi ✓0 STATE (,t)11 ZIP 9'O 3 CONTRACTOR PHONE: 4Z5 7? 6- 7 3 77 CONTRACTOR EMAIL:CAiST01 2s&e-Vt 6'*9 ' F�it.�:64, CONTRACTOR LICENSE#(REQUIRED): Soul-I- C-PI 2 CITY OF EVERETT BUSINESS LICENSE#(REQUIRED)6/9 5 ,// PRIMARY CONTACT: ❑ OWNER CONTRACTOR ❑ OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 9z5 776- 7377 K:17-‘--/- /t' R I CIG irk()STel-k) CONTACT EMAIL:COS r"°(""GRSrE 2VtCE®govTi c7owtj-is•'03i <0Q"1 _—....,--) BUILDING PERMIT APPLICATION ' _ Existing Use of Building: Contract Price of Work: $ �iSv`^G Proposed Use of Building: Heat Source: ❑Gas ❑Electric .'Other Building Type: USER-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units: - ❑Commercial ❑Industrial Type of Project: ❑New DAddition ❑Remodel ❑Repair DTI. ❑Sign ❑Sprinkler ❑Demolition DChange of Use DESCRIPTION OF WORK: Vajz...,,c:,..kkj. ::::::''‘in ...1 ---01.._ c_‘..•---xku_a_i____ ASSOCIATED BUILDING PERMIT#(if applicable): MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION Type of Projeot: New _ Addn _Alteration _Repair Type of Projeot: _New Addn Alteration _Repair #of #of List of Fixtures List of Fixtures #of List of Fixtures #of List of Fixtures Fixtures Fixtures Fixtures Fixtures A/C—Air Handling Units Heat Pump I Toilet Backflow Preventer(Inside Bldg) Forced Air Systems Unit Heater I Bathtub Urinal Gas Piping Boiler Z. Lavatory(Wash Basin) Drinking Fountain Water Heater Refrigeration / Shower Floor Drain Gas Fireplace Wood 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 / 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 and no deviations therefrom.Deviations must first be authorized in writing from the Buildin. o-' 'al before •eing 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 1 .mply 'h the 't-to Contractors Law 18.27 RCW and 296.200A WAC. City of{Everett Official Use OnOnly ___ / PER ' . 1�/ l�J Owner/Authorized Agent Signature Date (Revised 9/23/2016)