2414 OAKES AVE 2018-04-13 - Laserfiche WebLink

PERMIT APPLICATION °I.411?/—,:"ABUILDING /MECHANICAL/PLUMBING /SIGN /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( www.everettwa.gov/permits -0011 ,,Buck InkaOtily Ply se) 4,11040 4 ITE FORMIATNOI „ .; °; ,, PROJECT SITE ADDRESS: / d kr11-6 PrVL �/( � `(,(/P PROPERTY TAX#: 0 U 9-31 I cSDU)-O8 LEGAL for new construction: Short Plat/subdivision b Lj'.550 -b :0 D Lot No.)-04(attach copy of long legal description) r C 0NTAC TMNPO RMA1IoN OWNER NAME: 12.41'IttdV4- L flJ TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET )- -T t4 0 Pt j(-,;S ft'V(✓'' /v CITY V V t�vt 1 STATE VV ZIP 0 OWNER PHONE: y)S p OWNER EMAIL: alutopie to-14 UiUL 66 A./ CONTRACTOR NAME: Y f� /A/C7-74-1-4-4-3-70/•J CONTRACTOR ADDRESS: STREET 11, cU /4-14.4 q CITY L-v�� O�� STATE U41 ZIP 4S6 3 7 CONTRACTOR PHONE: 1-115.. 7 (/s--• 5177 " 77 7 CONTRACTOR EMAIL: CONTRACTOR LICENSE#(REQUIRED): K 1f 'N�J O,7,'7) LA CITY OF EVERETT BUSINESS LICENSE#(REQUIRED) '3'�1(S PRIMARY CONTACT: 0 OWNER 0 CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: CONTACT EMAIL: BUILDINGPERMIT APPLICATION Existing Use of Building: PA:7-6.-/a r N 77/ Contract Price of Work:$ 7 8c" U/) Proposed Use of Building: 1'c1)F/J1-7/i L Heat Source: Gas ❑Electric ❑Other Building Type: (SFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units: ❑Commercial ❑Industrial Type of Project: ❑New DAddition ❑Remodel ❑Repair CIT.!. OSign ❑Sprinkler ❑Demolition OChange of Use DESCRIPTION OF WORK: k p L P Cc //dJ -.7-74-1-1- Fizegspiivb, NG Cir I t l `eai= F1 a-pla-&c. ASSOCIATED BUILDING PERMIT#(if applicable): ... ..I1 ,,,.CHANICAL PERMIT:,1 PPLICATIOI�N PLUMBING PERMIT APPLI ATIOM+1 , 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 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: Q SPRINKLER I/SU,PPRESSION'SYSTEM"` 'Chemical or Water I No.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.lam the owner,or lam authorized by the owner of this property to perform the work for which application is made, and/comply with the State Contractors Law 18.27 RCW and 296.200A WAC. City of Everett Official Use Only 4 P //.7 PERMIT# t r0 Owner/Authorized Agent Signature Date (Revised 9/23/2016)