1125 80TH ST SW 2018-04-05 - Laserfiche WebLink

. PERMIT APPLICATION �'-' BUILDING/ MECHANICAL/ PLUMBING I SIGN ISP INKLER/ DEMOLITION CITY OF EVERETT PERMIT SERVICES • •� 3200 CEDAR STREET,EVERETT,WA 98201 (P)425-257-8810 I FAX 425-257-8857 1(E)everetteps@everettwa.gov 1 www.everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION A) PP'7 c.&c ,f7 PROJECT SITE ADDRESS: / / Ces 97- S PROPERTY TAX#: LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: . AA,K Ail a�oA) TENANT NAME(If Commercial):pets v Pa s ez,,•,,, OWNER MAILING ADDRESS: STREET // go" S"7" s Q c" 6V'.� Y.� STATE WoZIP 6S<lJ3 OWNER PHONE: 9"g - Lf e3 Gl OWNER EMAIL: CONTRACTOR NAME: we:405-7 -` A,G ¢, A?le '. ,-jt'c- CONTRACTOR ADDRESS: STREET g 73o ii 43 7.7Y .51-7 Nf CITY if•-t5Cy_ STATE 44,0i9 ZIP 7e2. �. CONTRACTOR PHONE:YZ -,? 5 4-12,Zet CONTRACTOR EMAIL:.®/AO_/V 0-0l,6• ,C6 ®Ca,/ CONTRACTOR LICENSE#(REQUIRED):NooS v tt CITY OF EVERETT BUSINESS LICENSE#(REQUIRED) 142.i Li, PRIMARY CONTACT: 0 OWNER / TRACTOR 0 OTHER(Please Specify) CONTACT NAME: ��,,cc��,,r�} CONTACT PHONE:4/.7.5--Sit--- '/� ---505,A,^^05,A, /064057 "9 CONTACT EMAI L:®ICCIGL to A, friii /i C-o11 BUILDING PERMIT APPLICATION / Q 6 Existing Use of Building: Ca4eft_f/oce,S,4 Contract Price of Work:$ .0•'G Proposed Use of Building: Heat Source: s ['Electric ❑Other Building Type: ❑SFR-Detached ❑SFR-Attached ['Duplex ❑Multi-Family-#of Units: Qomme ial ❑Industrial Type of Project: El New ['Addition ['Remodel Viae,pair OT.I. ❑Sign ['Sprinkler it Demolition F Change of Use DESCRIPTION OF WORK: (.Jk.6 Foe 1-11-c6 e.. 91 i /147 . ASSOCIATED BUILDING PERMIT#(if applicable): --'71—1'. 647 `i > 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 A/C-Air Handling Units Heat Pump Toilet Backflow Preventer(Inside Bldg) Forced Air Systems f 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 Chemical or Water I No.of Heads ACKNOWLEDGEMENT.•l 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 1 am authorized by the owner of this property to perform the work for which application is made, and l comply ith the State Contractors Law 18.27 RCW and 296.200A WAC. City of Everett Official Use Only �a � '_ oZ ,./.7Pyr#[ t2 D20 Owner/, orized Agent Signature Date (Revised 9/23/2016)