3706 HOYT AVE 2018-03-12 - Laserfiche WebLink

IIIIII,, PERMIT APPLICATION II BUILDING J IIIECHANICAL/PLUMBING /SIGN /SINKLER/ DEMOLITION CITY OF EVERETT PERMIT SERVICES 01;14677. 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 (Blue:or Slack.Ink Only;Please) PROJE,CT SITE INFORMATION PROJECT SITE ADDRESS: -1.0f0 cjJ ;J-e__ PROPERTY TAX#: LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION iOWNER NAME: t,' ) 2 \, C TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET &S'S11� � STA ,� 1002.41 . P--.•CITY ' Q"K TL()/ TEt - ZIP ?B OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME: 0GOh /1— CONTRACTOR ADDRESS: STREET CITY STATE ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: CONTRACTOR LICENSE#(REQUIRED): CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): PRIMARY CONTACT: 0 OWNER 0 CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: CONTACT EMAIL: BUILDING PERMIT APPLICATION Existing Use of Building: Contract Price of Work:$ Proposed Use of Building: Heat Source: ❑Gas ❑Electric ❑Other Building Type: ❑SFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units: ❑Commercial ❑Industrial Type of Project CI New ❑Addition ❑Remodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: 'in,t:Vit i‘ MAMA) 440( ASSOCIATED BUILDING PERMIT#(if applicable): MEECHANIGAL ERIVIIT APPLICATION . PLUMBING PERMIT APPLICATION Type ofroP ject: _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: I Exhaust Fan Sink(Service/Bar/Mop/etc.) Other: SPRINKLER/SUPPRESSION SYSTEM-, Number of Heads ACKNOWLEDGEMENT'I have reviewed this application and . firm the information contained herein is true and correct.Work done pursuant to this permit must comply with current federal,state,and local law. . e granting of a permit• authorizes approved work and no deviations therefrom.Deviations must first be authorized in writing from the Building Offici- I fore;-ing auth, ed under any circumsr.9 e.I am the owner,or I m authorized by the owner of this property to perform the work for which application is made, and I comp) h th/:tate Contp:,tors Law 18.2 CW• d 296.200A WAC. /7 City of Everett Official Use Only . 1C IP �/[J// PERMIT# 'Y1w L(JO1 - bD I Owner/Authorized Agent Signature Date (Revised 5/202016)