515 VERALENE WAY SW 2018-04-13 - Laserfiche WebLink

PERMIT APPLICATION• BUiLDI /iECHANICAL/PLUMBING /SIGN I NERINKLER/ DEMOLITION f/ff-.--a CITY OF EVERETT PERMIT SERVICES %IlliWI 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 r:._. :.:-:; :..n:: ;pROJtCT'S,li:`TE IiO®R1<1l1/147lOM .. .:; .. . ..... ... . ..: . ._ . ....... PROJECT SiTE ADDRESS: `.5 ie il• h4�N � � PROPERTY TAX#: LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) . . ,. ..: . ..._. . . .. .. .. .. . .:..::: :. : , -' :) f`ARM*TION:: ;'' ' ` '.`•'j,::.. ` ..=`:°: `:: ;`..-: .. .. OWNER NAME: SitAni0 Q& Awa ,,r4 L_ , 0 TY 4- TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET S—2_1-1 g 5 1. t4 %o w '5 L) Oily S EAS a i-e 4000 STATE (--"il zIP /Era L OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME: A L.4J aye L/00,0 C Ati-C CONTRACTOR ADDRESS: STREET JL/,,2 Y 1 4„-)0,›0;0401-Le 0ur/4i-1. 2/9 A £ 3O( CITY C.2/OJ IV 11,C tr .1 STATE j„•J44 ZIP 7 i 0-7-2_, CONTRACTOR 5?2y- CONTRACTOR PHONE: Z.OK —i °-S./ el CONTRACTOR EMAIL: gith4.,L G A 4-PI w(t Amo c4' -�a.� CONTRACTOR LICENSE#(REQUIRED): 44;_o i N t 6'?/ J CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): PRIMARY CONTACT: 0 OWNER az,CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 2-O 6'- -lc'-5_.r/ tg )cam /2--A 04 z°r CONTACT EMAIL: g,a'.i., .e A I,.0Iry&7.:. 1-dt 1A/r. i1,1-C-4 6.-,_..-, . ..- UiLD1N##ER.M ,A . :.;-aN-::.:-.;.; .P. ,; . . ..... Existing Use of Building: Contract Price of Work:$ 0 i 000 Proposed Use of Building: 5.-/M Ger t+ 1L 11 Heat Source: CIGas AaElectric ❑Other Building Type: ❑SFR-Detached i►;SFR-Attached @Duplex CiMulti-Family-#of Units: ClCommercial ❑industrial Type of Project: [ New ClAddition @Remodel Repair CIT.I. GSign @Sprinkler ODemolition OChange of Use DESCRIPTION OF WORK: ; ( „+ i<'s►u.0& G7h-JL�z �o 14- Nr�r F�rc a4'455E� � �� + t�� l� r l fait Err,...-41.:z., r' 1�/ ol..oS / Ge-,01.-c F 4.evdti"HA 06 -- ASSOCIATED BUILDING PERMIT#(if applicable): MECHANICAL.P•E tMIT rAPPL16ATIAN :k,'::'; ......' PLUMBING PERMIT?APPLICATION. - Type of Project: _New Addn Alteration kRepair Type of Project: ^New _Addn Alteration Kkepair #of List of Fixtures #of List of Fixtures Fixtures List of Fixtures #of List of Fixtures #of Fixtures Fixtures Fixtures A/C-Air Handling Units Heat Pump '1. Toilet Backflow Preventer(Inside Bldg) Forced Air Systems Unit Heater Bathtub Urinal Gas Piping Boiler 'a 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: i Clothes Washer Medical Gas Range Hood Other: Exhaust Fan Sink(Service/Bar/Mop/etc.) Other: :: : SP:RiNKLER1SUP,P:.RESSI.O*SYSTEM:.;;<: Number 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 lam authorized by the owner of this properly to perform the work for which application is made, and I comply with the State Contractors Law 18.27 RCW and 298.200A WAC. City of Everett Official Use Only // ' PERMI_0/2-6 Z' N10- D° —O to Owner/Authorized A•- ign Date (Revised 10/12/2015)