2514 RAINIER AVE 2018-02-23 - Laserfiche WebLink

41'en".-. .- I• • -- PERMIT APPLICATION (BUILDING MECHANICAL / PLUMBING / SIGN /SPRINKLER/ DEMOLITION •.:, CITY OF EVERE:TT PERMIT SERVICES 3200 CEDAR STREET, EVERETT,WA 98201 (P)425-257-8810 l FAX 425-257-8857 1(E)everetteps@everettwa.gov 1 www.everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS:Into AIF( - Ai • C( ` PROPERTY TAX#: LEGAL for new construction: Short Plat/subdivision 1c Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: / -i'-'5C-kbeg.„)t) -{, ( TENANT NAME(If Commercial):-1 W(c,5ct OWNER MAILING ADDRESS: STREET 2 *y}— \� CRV NEftt 1 1 STATE ZIP Cif3W1 OWNER PHONE: 42•6385 4iq C/b OWNER EMAIL: c yt...ety -"V , CONTRACTOR NAME: „L! .. fb t i-4l0, -11/1)1A--) «l CONTRACTOR ADDRESS: STREET CITY STATE ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: CONTRACTOR LICENSE#(REQUIRED): CITY OF EVERETT BUSINESS LICENSE#(REQUIRED)OM L2J/ PRIMARY CONTACT: ❑ OWNER 0 CONTRACTOR Q.OTHER(Please Specify) ri T• CONTACT NAME: CONTACT PHONE: 2C/4p 44-1 -462....2,---- MPc - td,i'rf 2-.,D CONTACT EMAIL: VAC RcANIAG AI Tl •coyt BUILDING PERMIT APPLICATION _ - Existing Use of Building: � �� Contract Price of Work:$_ Proposed Use of Building: Mi, [ . (}4 ;t..___ Heat Source: ❑Gas ❑Electric DOther Building Type: DSFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units: ;,S1Commercial El Industrial Type of Project: ❑New DAddition 2,ion DRemodel DRepair .I. ❑Sign ❑Sprinkler ❑Demolition DChange of Use � DESCRIPTION OF WORK: " stvc,`-p t ti C c� y(,S V 1 Ito 1" 7 �tckd i c) (1,`A-qJ UIRYRAP-i- 'M6t)t�`1. U►l1Arw3 6+J W1,St5 L C h`E Pr GaAca-1 Off c 4- Y .r(i i c t.• 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 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 Toilet Backflow Preverr(er(Inside Bldg) Forced Air Systems Unit Heater Bathtub Urinal Gas Piping Bojler Lavatory(Wash Basin) Drinking Fountain Water Heater ;fefrigeration 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 SYSTEM7 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 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 //i , &//a/I1 PERMI{ \ ~ o39 Ow ,, . h.nzed Agent Signature D (Revised 9/23/2016) 6