2906 100TH ST SE 2018-04-06 - Laserfiche WebLink

�j� PERMIT APPLICATIOM■ Attv BUILDINeTAIECHANICAL( PLUMBING /SiGN I SPRINKLER ! 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 I www.everettwa.gov/permits (Blue or Black Ink Only Please PROJECT SITE INFORMATION PROJECT SITE ADDRESS: 00101' /cow-&S i SET- cE PROPERTY TAX#: .2866 goon/O 39 bO LEGAL for new construction: Short Platlsubdivisk n Lot No. (attach copy of long legal description) s ®„ CONTACT INFORMATION OWNER NAME: k'eQ. Alici)4-T TENANT NAME(If Commercial): OWNER MAILING ADDRESS;; STREET SIZe'he_ ar c .._... CITY OWNER PHONEY Ai OWNER EMAIL: 44 CONTRACTOR NAME; C ei j� e cSTDNF RCOF/A, * I N�•, CONTRACTOR ADDRESS: STREET 17/•.2/ /5�'`1. ,44 Cg itfik ,lii4 _... _ :...,:CITY (!W:T LL- CONTRACTOR PHONE: �S—yeS—eV CONTRACTOR EMAIL: CORNS7I�fVRGOf/NG.Corn CONTRACTOR LICENSE*REQUIRED): __. CO RA/0,4V C/ CITY OF EVERETT BUSINESS LICENSE EQUtRED) Oa: 0 PRIMARY CONTACT: 0 OWNER IIP6ONTRACTOR 0 OTHER(Please Specify) CONTACT NAME; CONTACT PHONE: 126-_s185_o//I • &1 RA C•004614 OF=F/CC_..fl7 4AMCv CONTACT EMAIL: i SAt2AjaCA/QIVE/26T2GUF/n'l,.Cp/YI BUILDING PERMIT APPLICATION Existing,Use of Building: . 4..,. op 9 SFR_ Contract Price of Work-$• � ��. Proposed Use of Building: /2,, Heat Source: ❑Gas ❑Electric ❑Other BARNTypeA .n> �FRAched ❑dit�l� ❑MuIU Fafttt� of Units: ❑Commercial ❑industrial ype of Project: ElNew OAddition emodel ❑Repair OT.I, ❑Sign..._ ❑Sprinkler ODemolition ❑Change of Use: DESCRIPTION OF WORK: Rut-nape G9Yvp oio"I-i 91'l o . ,Aaflace c eW- C.6rYipo£sl�it+eArt•;; ASSOCIATED BUILDING PERMIT#(if applicable): MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION ype of Project: _New _ Addn _Alteration Repair Type of Project: _New _Addn _Alteration _Repair #of #of #of #of List of Fixtures List of Fixtures List of Fixtures List of Fixtures Fixtures fixtures Fixtures Fixtures. , A/C 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 RefrigerationShower 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[;food 'Water Heater ` Other`. Exhaust Fan Sink(Service/Bar/Mopfetcl Other SPRINKLER t SUPPRESSION SYSTEM .. jNumber of Heads - ACKNOWLEDGEMENT:t 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,lam the owner,ori 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 PERMIT 1/ $ tI „, > zoic g Owner AtitherIted Agent Signature /Rev 4t 016)