1025 90TH ST SW 2018-04-05 - Laserfiche WebLink

04/28/2017 FRI 9: 06 FAX Fabt Water Heater E004/004 I 0 t ol-q C) PERMIT APPLICATION t- BUILDING/MECHANICAL.I PLUMBING /SIGN I SPRINKLER/DEMOLITION CITY OF EVERETT PERMIT SERVICES • 114i5;71- 7 ' '' 3200 CEDAR STREET,EVERETT,WA 88201 (P)428-257-8810 I FAX 425-257-8857 I(E)everetteps@everetiwa.gov I wvwv.everetlwa.gov/perrnits Blue or Black Ink_Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS:(DP5 r ST W PROPERTY TAX#:01 .26t Totet OM ' . LEGAL for new construction: short Plausubdlvislon Lot No. (attach copy of long legal desorption) CONTACT INFORMATION �,riNj Nn OWNER NAME: TENANT NAME If Commercial): �� OWNER MAILING ADDRESS; ei er O 5 qua" ET' SIA) tF 1 __. _` CRY l/ STATE kJ/ ZIP s>,94 I OWNER PHONE: 9_61P I' ((p5 11- OWNER EMAIL:,-------- . CONTRACTOR NAME; fAS` - UJ AI 1� 1-tsA-`rtg, rn CONTRACTOR ADDRESS: mem- /�/�1\,1'( l'5. N Xee,,� P M .....$ C,1 I)(p /J��/�) -- nY 'kCJ 9 1 T 1 [/ .� STATE zip .q SC I s S._ CONTRACTOR PHONE: (-0 lU% .`p CONTRACTOR EMAIL:1:21 .m a•T 5 4prwQ� `V o C'r, tovii CONTRACTOR LICENSE#(REQUIRED);FA, fiww r 1�I'q R 13(..... CITY OF EVERETT BUSINESS LICENSE a1(REBUIRED): PRIMARY CONTACT: CI OWNER t' CONTRACTOR D OTHER(Please Specify) --,- CONTACT NAME; �/ i CONTACT PHONE: `'i 053LP I l.J V: j 1 U- CONTACT EMAIL: w- p ( l Q 4C4 . BUILDING PERMIT APPLICATION ``!- Exieting Use of 6ulldtng: V VAContract Price of Work:$ I l0 J� Proposed Use of Building: _ 1 Heel Source: as DElectric ❑Other Building Type: DSFR-Detached DSFR-Attached ODuplex ultl-Family-#of Units: � DCommercial ❑Induetrtal Add Type of Project: EINew ❑ itian ❑Remodel Repair CIT.I. Oslgn D�rinkIor t..IDemotitton OChange of Use DESCRIPTION OF WORK: fkin 0\i / YreQ\A.ae /°)--S UL)ak-eAr V\C Od-t-er . ASSOCIATED BUILDING PERMIT#(If applicable): - MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION , Type of Project: _New mirk, _Alteration _Repair Type of Project: _New _ n _Alteration __Repair #of Lrat of Fixtures #or List of Fixtures ti of Mt of Flxtu #of Ltst of Flirt. s Fixtures Fixtures Flxturea Fixtures _ A/C-AIr Handling Units Hest Pomp Toilet Backflow Prove ,.r(Inside Bldg) Forced Air Systems Unit Heater Bathtub Urinal V_Gas Pip)ng Boller Lavatory rash Basin) •■rinking F.rntaln Water Heater Refrigeration Shower F••r ■•:n • Gas Fireplace Wood Stove 1 Kitchen Sink a Disposal -Gra- Trap Gas Range • Ducting Dishwasher -•of Dr. ,e Clothes Dryer Hookups_ Other: Clothes Washer. edictal Ga ; • Range Hood 1Nater Heater Other: Exhaust Fan Sink(Service/Bar/Mopieto. Other: SPR1NN > SSIIO STII M Igiemlcal or W ,of Heade ACKNOWLEDGEMENT.I have reviewed this application and confirm The Infi matron oonrefaed hereto Is(rue end correct.Work done pursuant to this permit must oomph/with current federal,stere,end local few.The granting of a permit only authorizes approved work and no deviations therefrom Deviations must first be authorized/n writing from the Bufidtny Official before Wart authorized under any crn;urnstence.1 ern the owner,or I em authorized by the owner of this property to perform the work for which application IS made, end f comply with the State Contractors Law 1a27 ROW and 29E200A WAG. City offEEverett Ofikokd Ude Onlyla ' 9 '2 I - PERMlY# G D q-- V l C-4-1 Own ulhor a Ag Signature Date (Revised 9/2 201