1215 CASCADE DR 2018-02-23 - Laserfiche WebLink

OLTPERMIT APPLICATION BUILDING / iviECHANICAL / PLUMBING / SIGN / INKLER / 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 PROJECT SITE INFORMATION PROJECT SITE ADDRESS: PROPERTY TAX#: lz\S C c cc evr C;u .3 c3e4icc trey C, Csi LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: ?,4„,_f cc ' la cs twi_c_,,t TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET I Z k 5 CGc c c(ie () r',v-e CITY c.l)„Crte STATE L.N-1A ZIP Ci 7 2c3 OWNER PHONE: Lt ,, . 7st0 . 9({c y OWNER EMAIL: CONTRACTOR NAME: 4 kw.,,,i t-i-e_,.+; n 5 CONTRACTOR ADDRESS: STREET cr O S y,J �.e_e_ci CI'...i LS (c 0 c 1%M..- cm, JI(1O 1c vvi e t, STATE w ON ZIP ?: 2.cr U CONTRACTOR PHONE: -3c,0. cc, 8 . Gl fol CONTRACTOR EMAIL: C 7 z. 3c- `i CONTRACTOR LICENSE#(REQUIRED): V-,.0,1_,,,,,c N-X © c,,,c..p CITY OF EVERETT BUSINESS LI ENSE#(REQUIRED): PRIMARY CONTACT: ❑ OWNER 13 CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: N L S _ 3 3 , 7 L-- 0...,,c_ \c-.G k vh e CONTACT EMAIL: BUILDING PERMIT APPLICATION 'CONTRACT PRICE OF WORK ��Cr... Existing Use of Building HEAT SOURCE: Proposed Use of Building Gas Electric Other Building type: Single Family Duplex Townhouse _Multi-Family Commercial Type of project: New Addition Remodel Repair T.I. _Sign Sprinkler Demolition _Change of Use DESCRIPTION OF WORK: . /� _ '-�,J \c_ _ \ : \C.-2 -�a./ vi�4?-- -`?-1/4-Q-c- •r:C.- 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 preventer(inside bldg) Forced air systems Unit heater Bathtub Urinal Gas piping Boiler 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 Number 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.lam the owner,or lam 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 c• lc - It \ Soy -- oi3 Owner/Authorized Agent Signatu Date (Revised 09/25/2015)