2330 E GRAND AVE 2018-04-02 - Laserfiche WebLink

477PERMIT APPLICATION BUILDING/ MECHANICAL I PLUMBING/SIGN /SPRINKLER/ 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 (Blue or*la k'I *rOnI,Please) PROJECT SITE INI=`oRMATION PROJECT SITE ADDRESS: ?, jolir Li-A.1 ` - PROPERTY TAX#: LEGAL for new construction: Short Plat/subdivision 111-01)) Lot Nor"'3'2(attach copy of long legal description) _ , _ CONT'A'CT*FORMATION' ‘ 9: '' ;;j 7 OWNER NAME: 124444.. NA-, t`k3li TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET 2/ 3 0 CW_ a/ 1` l) PrNetel 1 CITY 1 STATE V4 IN ZIP OWNER PHONE: 042-6) V‘4 114q I OWNER EMAIL: CONTRACTOR NAME: Via"lit/ b 2I th ri .Q/n' OVA . CONTRACTOR ADDRESS: STREET(3 0 �.) C��"� CITY 1 V v V . • STATE l�L9-2— ZIP CONTRACTOR PHONE: ` yriam` r,1 n'/VVV� "ill z .,.,1�ITRACTOR EMAIL: CONTRACTOR LICENSE#(REQUIRED v C I SCI pl/, CITY OF EVERETT BUSINESS LICENSE#(REQUIR ): �`�(t 6 PRIMARY CONTACT: 0 OWNER 0 CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: CONTACT EMAIL: BUILDING'PERMIT APPLICATION _:,-- rjj;" Existing Use of Building: GJ -- Contract Price of Work:$ 0 .� > I 11 t. fr Proposed Use of Building: a el..e>>? Heat Source: ❑Gas ❑Electric ❑Other I / Building Type: ❑SFR-Detached ❑SFR-Attached 12i6uplex ❑Multi-Family-#of Units: ❑Commercial 01 dustrial J J ite, p�`� Type of Project: ONew ❑AdditiongRemodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use l �ff� ,,�" DESCRIPTION OF WORK: ,--3,r49 -r en L'4 L ii.c1-13 170 ASSOCIATED BUILDING PERMIT#(if applicable): MECHANICAL PERMIT APPLICATION" PLUMBING BINC�PERMIT APRLt�/1T;lON.,,;'.•.. Type of Project: New Addn _Alteration Repair Type of Project: _New Addn Alteration _Repair #of #of #of #of List of Fixtur•s List o rxtures List of Fixtures List of Fix es Fixtures Fixtures Fixtures Fixtures A/C-Air Handling nits hk. Pump Toilet Backflow Pre -""ter(Inside Bldg) Forced Air Systems nit Heater Bathtub Urinal Gas Piping Boiler Lavatory(Wash Basin) Drin. g Fountain Water Heater Refrigeration Shower F.or Drain Gas Fireplace Wood Stove Kitchen Sink&Disposal Grease Trap Gas Range Ducting Dishwasher '.of Drains Clothes Dryer Hoo• ps Other: Clothes Washer Me. ..1 Gas Range Hood Water Heater Other: Exhaust Fan Sink(Service/Bar/M•./etc.) Other: SPRINKLER I 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 //14011( i 2-.8-2,,i(c, PERMIT#/1 t 12c....„, Dol Owner/Authorize Agen Signature Date (Revised 9/23/2016)