2404 RAVENNA ST 2018-03-13 - Laserfiche WebLink

(i4errPERMIT APPLICATION BUILDING/MECHANICAL/ PLUMBING /SIGN /SPRINKLER/ DEMOLITION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET,EVERETT,WA 98201 (P)425-257-8810 1 FAX 425-257-8857 I(E)everetteps@everettwa.gov I www.everettwa.gov/permits (Blue'or Black ink Only-Please) ;_` PROJECT SITE INFORMATION t ., , PROJECT SITE ADDRESS:a L u y R.a 0 e rl r 01/4. PROPERTY TAX#: LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: jo* ..Q, \ Y--ckt, AD r_Lit TENANT NAME(If Commercial): OWNER MAILING ADDRESS:-- STREET J Q 6 i LA CITY L--v e,i'e 4 STATE\j\) a ZIP g o a t OWNER PHONE:14 a-5' 3 k-k \ 0 `C OWNER EMAIL: CONTRACTOR NAME: K ' ' 'tel , re,A�} 7 CONTRACTOR ADDRESS: STREET 3 e) 30\Li CITY E.v e(( G STATE V v C&. ZIP Off, t CONTRACTOR PHONE: 14 P...,S- 3 L\'e-, k \0 CONTRACTOR EMAIL: CONTRACTOR LICENSE#(REQUIRED): 3W r\e r CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): PRIMARY CONTACT:XOWNER 0 CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: j�a,S- 3 l k s to \ e J<Q*ky CONTACT EMAIL: ., ; :, BUILDING-PERMIT APPLICATIO, Existing Use of Building: Contract Price of' ork:$ p _�� _ Proposed Use of Building: ( es I a-en G Heat Source: El Gas LTElectric ❑Other Building Type:7FR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units: ❑Commercial ❑Industrial Type of Project: ❑New DAddition ❑Rem odel El Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: Fac\ o -l-u-r e s sE U.) (0 C --"OCA C4 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 NC—Air Handling Units Heat Pump ( Toilet Backflow Preventer(Inside Bldg) f Forced Air Systems Unit Heater I. Bathtub Urinal Gas Piping Boiler I Lavatory(Wash Basin) Drinking Fountain Water Heater Refrigeration I Shower Floor Drain Gas Fireplace Wood Stove Kitchen Sink&Disposal Grease Trap Gas Range Ducting Dishwasher Roof Drains ( Clothes Dryer Hookups Other: J 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.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 r PERMIT# /3g) \ X n CI l'—'60 i Owner/A thorized Agent ig ture Dat (Revised 5/20/2016) 1,-,;)