5126 SEAVIEW WAY 2018-04-13 - Laserfiche WebLink

PERMIT APPLICATIOI4- BUILDING/ MECHANICAL/ PLUMBING /SIGN /SPRINKLER/ DEMOLITION f 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 (Bice`arxB�ack,Ink:.Only;,Piease} r ,. ,.. PROJECT,SITE INFORMATIOM , .i. . . PROJECT SITE ADDRESS: 57 2& FIG.Av 1 IN ! PROPERTY TAX#: LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) .,CONTACT.INFORMATION OWNER NAME: et-‘600 51Dc r A N-A r.S-6 TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET �j�(/� - \(( t',J CITY (✓y T ( STATE J A-- ZIP 9 7c.-2.6 OWNER PHONE: 71-�-7.„--4--333 'OWNER EMAIL: GIiN 04, (87,21-(,t1, CO Irl CONTRACTOR NAME: C L)k) (L Pi1—Fk n-(-p'3E CONTRACTOR ADDRESS: STREET 3 AJ Ai) (_, CITY STATE ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: pp CONTRACTOR LICENSE#(REQUIRED): CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): PRIMARY CONTACT: )bWNER 0 CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: CONTACT EMAIL: BUILDING;PERMIT APPLICATION Existing Use of Building: Contract Price of Work:$ t ) C� Proposed Use of Building: Heat Source: ❑Gas ❑Electric ❑Other Building Type: ❑SFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units: ❑Commercial ❑Industrial Type of Project: ❑New ❑Addition ❑Remodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: 12„�0. Ce La ice, (' joo c 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 Fo Water Heater Re •,-ration Shower ..EloerDrain Gas Fireplace i' ood 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: SPRIN MVP SU.PPRESS10N,SYSTEM . (Chemical or Water ' INo.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.I am 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 i Jzo1S' Petctk ° C) 022—, O er/A9 Signature d Agent Si nature [9 ate (Revised 9/23/2016)