3428 FEDERAL AVE 2018-03-12 - Laserfiche WebLink

PERMIT APPLICATII /- BUILDING / MECHANICAL/ PLUMBING I SIGN /SPRINKLER 1 DEMOLITION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET,EVERETT,WA 98201 (P)425-257-8810 1 FAX 425-257-8857 1(E)everetteps@everettwa.gov 1 www.everettwa.gov/permits z 'li#45; � ** ,t SI`TElWFORM/#`t`IC3N .t �� ``< PROJECT SITE ADDRESS 422 ��7, ,,p -- PROPERTY TAX#:694 37 s--62.46) 2.I c> LEGAL for new construction: Short Flat/subdivision&J 2267 t k// if P144 Nlo. (attach copy of long legal description) etit4 01 p CONTACT:.INF©RMATION OWNER NAME: C. f 4f /f L.� 1�77 TENANT NAME(If Commercial): P` OWNER MAILING ADDRESS: STREET ' 0, 13.0x s----Z.ZZ // �/� CITY LA-deti STATE W✓Q' ZIP t ,5-0./ `� 3 OWNER PHONE: j ! 7 OWNER EMAIL: tttt CONTRACTOR NAME: CONTRACTOR ADDRESS: STREET CITY STATE ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: CONTRACTOR LICENSE#(REQYIRED): CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): PRIMARY CONTACT: -;;, �„„, e a {.�. rs �� .,,,,. 4o�,.- ❑OWN R 0 CONTRACTOR OTHER(Please Specify) U l( I rs � 7--' CONTACT NAME: ;W r AsUAVTR,21CONTACT PHONE: e-S 34s- n, CONTACT EMAIL: DIPALWA.= t @. d R r �� ., 4OIN�, PERiS�IT:/IPPI:ICATI©N"`� � 1 ExistingUse of Building: 6 K`3 Contract Price of Work:$1 1€( /Oc Proposed Use of Building: �' P � )"`"'e— 2-3 Heat Source: ❑Gas ❑Electric ❑Other Building Type: *FR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units: OCommercial ❑Industrial Type of Project: ❑New Addition Igtemodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: ✓ D t4cg. 2 6&V/2Q 5 4 4- 0 Ptl©z— >I�17 1 P =Dc ?, S7 / 4IO Jilt J3, 7 , l ASSOCIATED BUILDING PERMIT#(if applicable): y - rLAICAL PERMIT' ": SItATio-N .4, _ PLUMBING'PERMIT APPLICATION`''' Type of Project: _New ` Addt Alteration _Repair Type of Project: _New Addn 14 Alteration _Repair Fixtures List of Fixtures Fixtures List of Fixtures Fixtures List of Fixtures Fixtures List of Fixtures A/C—Air Handling Unit Heat Pump 43 Toilet Backflow Preventer(Inside Bldg) Forced Air Systems Unit Heater _ f. Bathtub Urinal Gas Piping Boiler "j Lavatory(Wash Basin) Drinking Fountain Water Heater Refrigeration i Shower Floor Drain Gas Fireplace Wood Stove I Kitchen Sink&Disposal Grease Trap _Gas Range 'r Ducting / Dishwasher Roof Drains Clothes Dryer Hookups Other: _ Clothes Washer Medical Gas f Range Hood Water Heater Other: S Exhaust Fan Sink(Service/Bar/Mop/etc.) Other: a, 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.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 'th the S -• tractors Law 18.27 RCW and 296.200A WAC. City of Everett Official Use Only _. / / PERMIT# ,r� , - i IICJ(S&(?)- OOL O ner/Authorized Agent -g, r Date (Revised 10/12/2015) r^"`` ''''''----12 ) r