8823 9TH AVE SE 2018-02-26 - Laserfiche WebLink

PERMIT APPLICATION BUILDING/MECHANICAL/ PLUMBING I SIGN /SPRINKLER/DEMOLITION OENLT CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET,EVERETT,WA 98201 (P)425-257-8810 I FAX 425-257-8857 ((E)everetteps@everettwa.gov I www.everettwa.govlpermits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: ,-14",- i PROPERTY TAX#: LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) y y CONTACT INFORMATION ` - OWNER NAME: U f < 14 )(W rTTEENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET ,gj~rfi r--6- 441 64- STATE jr 1 G _ CITY t� -l- f -6.6 STATE Oa ZIP '- yOWNER PHONE:E-0- 3g---7. 7/3i/ OWNER EMAIL: CONTRACTOR NAME: 11 err 016 -ea. )-'Liffe;) 4 14-t 1,-- CONTRACTOR CONTRACTOR ADDRESS: STREET 47-7 /-1 cif/ 1`1l�''4/ , V-e. (0) ? gr ., � 1/ CIIY `Y)0 J// / j _._... STATE /'115 C ZIP t 7 g �I CONTRACTOR PHONE: `11 5-3g-7 — °"' CONTRACTOR EMAlL:f O[7Y`) "P' C.t)` (i ,iv CONTRACTOR LICENSE#(REQUIRED):no f CI ShciLI,a-60 CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): -7 PRIMARY CONTACT: 0 OWNER Ea—CONTRACTOR 0 OTHER(Please Specify) i � / CONTACT NAME: ciao 3 CONTACT PHONE: 6- ),,..4-9./1") > /1)- .. CONTACT EMAIL: y` 0 r ` L/ /Y It 'Ja 7`,)' .:.1 BUILDING PERMIT APPLICATION Existing Use of Building: Contract Price of Worts,.'$ 7 •OZ) I Proposed Use of Building: Heat Source: }l LlEisi DElectric DOther, Building Type: ❑SFR-Detached ,F FR-Attached ODuplex DMulti-Family-#of Units: /. OCommercial [Industrial Type of Project: P;few DAddition ORemodel ❑Repair DTI. OSign CI Sprinkler DDemotitinn DChange of Use DESCRIPTION OF WORK: 1 )`v--\ , ) n d j,t v y1 fLL ' reio I e4 L' -ee-n--e cv}- ASSOCIATED I3UILDING PERMIT# if as•licable: 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) m_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 I SUPPRESSION SYSTEM Chemical or Water ! 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 locallaw. 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!am authorized by the owner of this property to perform the work for which application is made, and 1 comply with the State Contractors Law 18.27 RCW and 296.200A WAC. C City of Everett Official Use Only PE \# 1,(40 q e�s) Owner/Authorized Agent Signaturld Date (Revised 9/23/2016)