2525 RUCKER AVE 2018-04-13 - Laserfiche WebLink

OEPERMIT APPLICATIOP" BUILDING / MECHANICAL/PLUMBING /SIGN /SPRINKLER/ DEMOLITION � CITY OF EVERETT PERMIT SERVICES 32 00 CEDAR STREET,EVERETT,WA 98201 (P)425-257-8810 I FAX 425-257-8857 I(E)everetteps@everettwa.gov I www.everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: 3'2, \?j pQ,C PROPERTY TAX#: LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: SOL-W(34AY.r,L TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET CITY STATE ZIP OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME: 'e..c_ -"415,y Rp1 T, „, c„,,,„4Ct 1 s' CONTRACTOR ADDRESS: STREET "(7 tip ' `..\-•(....,00 \24 Y iv-/-7fa'3VL cn' Pt (`\ p STATE \ p° ZIP qV2,3 OCNTRACTOR PHONE: CONTRACTOR EMAIL: `�r CONTRACTOR LICENSE#(REQUIRED):607,, 6,01-1024 cot OO��ITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 111 PRIMARY CONTACT: 0 OWNER 0 CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: CONTACT EMAIL: BUILDING PERMIT APPLICATION Existing Use of Building: Contract Price of Work:$ t,",J V 0 Proposed Use of Building: Heat Source: ❑Gas DElectric ❑Other Building Type: ❑SFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units: ❑Commercial El Industrial Type of Project: ❑New DAddition ❑Remodel ❑Repair DTA. ❑Sign ❑Sprinkler_ ❑Demolition ❑Change of Use DESCRIPTION OF WORK: l�ieCTN:We, 1t Pitf,._c n c rN,) Or\ "' -- /4-‘4? °4- 4S ,\N? e_.,<I8MJ4 c-T-•{R,92LCI" 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 #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 Z_ 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 I SUPPRESSION 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 I 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# �7 K 1 m (-7 ,0 , 0(0,� OwnehA016)