5903 LARIMER RD 2018-04-05 - Laserfiche WebLink

''IIIIII 477 PERMIT APPLICATIC BUILDINU/MECHANICAL I PLUMBING /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 CPBiueror Black Ink Only Please) PROJECT SITE INFORMATION ROJECT SITE ADDRESS: q O 3 t I i l`ef led. PROPERTY TAX#: LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) n_., . :'. . . . - CONTACT INFORMATION. , ,:_, WNER NAME: /J/4-L( T ,NCS 1111(6-1Q TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET "??0 q ke,( 5-i-QI')-L UV CIT( P//f �J!GI/YjW STATES 2,01i- ZIP v82.2 G. OWNER PHONE: `' OWNER EMAIL: YYJJ CONTRACTOR NAME: Q1 i I ilii CONTRACTOR ADDRESS: STREET S q 0 3 2-ay-1 ryj Z K-ap �� CITY V R ` ._..�� STATE !i(/A 2 ZIP 9 g Q 3 CONTRACTOR PHONE: 360 .- r 1-_?g O c 'CONTRACTOR EMAIL: K? V) h'/ P/gj ,,,,,,t ,(2Q CONTRACTOR LICENSE#(REQUIRED): CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): PRIMARY CONTACT: XOWNER 0 CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: CONTACT EMAIL: BUILDING'PERMITAPPLICATION ' Existing Use of Building: ,ie_ Contract Price of Work:$ S�..O. - Proposed Use of Building: S"/i2 Heat Source: ❑Gas ❑Electric ❑Other Building Type: OFR-Detached ❑SFR-Attached ODuplex ❑Multi-Family-#of Units: ❑Commercial ❑Industrial Type of Project: ❑New ❑Addition ❑Remodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: F A^ �Y,` 1 s r0 l>��. 3l' rj s of e cK `I�'lQX`� W vV' a46c4, }9vf hasllictil ) teen 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 #°f List of Fixtures #of List of Fixtures Fixtures Fixtures Fixtures Fixtures NC-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: 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 bef re being authorized under any circumstance.I am the owner,or lam authorized by the owner of this property to perform the work for which application is made, and I comply with t State Co racto Law 18.27 RCW and 296.200A WAC. City of Everett Official Use Only }j it r PERML i0 1 W I O� (Owner! thorized Agent Si t re {-�` ,"/�� / to l/tai, Revised 5/20/2096) C-/\11Z l