Laserfiche WebLink
BUILDING CHANICAL/ PLUMBING/SIGN /II INKLER/ DEMOLITION <br /> M1167.7- CITY OF EVERETT PERMIT SERVICEL <br /> 3200 CEDAR STREET,EVERETT,WA 98201 <br /> (P)425-257-8810 I FAX 425-257-8857 1(E)everetteps@everettwa.gov 1 www.everettwa.gov/permits <br /> (Blue or Dla�ck Ink,O tP' ase): 'ROJEC'"li�SITE INFO,RMA 'It <br /> PROJECT SITE ADDRESS: 5602 w fil. Qr;vL r,13R 2,0 PROPERTY TAX#: <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> > ONTA TINFORMATION ,. <br /> OWNER NAME: -Same 4:1- " wt. ( TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: STREET rj(QO2. \,J rj4 QtnIt. <br /> CITY tsfe.TSTATE WA- ZIP 26)5 <br /> OWNER PHONE: L\ZEj- 353-- 5S Lel OWNER EMAIL: ?to.„){_\kw- Q, (O' u ct r\t+l <br /> CONTRACTOR NAME: \J d rd C. ¢.(,,\-• i t e\ S�( Q.d• \sc" G[.L1 ci.' <br /> CONTRACTOR ADDRESS: STREET \5'Z.e)41\ %re/C (� 1 <br /> CITY •1\d\'`Cf( Ss STATE '1r.,1R ZIP O)„-G 11g <br /> CONTRACTOR PHONE: 4i- 533- 0(4 S CONTRACTOR EMAIL: f'trar iC t 6-c,f\4PS rINCO\• (03,-"\ <br /> CONTRACTOR LICENSE#(REQUIRED): ,( .�511.\* \G3 V) CITY OF EVERETT BUSINESS LICENSE#(REQUIRED) OL,6 la <br /> PRIMARY CONTACT: at OWNER 0 CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: Z -.30 ,1 <br /> t i. -fes 1. CONTACT EMAIL: mott �i L4.T,rY!!t Cl\,Ge-1,^ t L Gy"N <br /> 0:00:0I0ING P ER IT APPLICATION': <br /> Existing Use of Building: �� \� -r-®,M,;1,1 Contract Price of Work:$ <br /> Proposed Use of Building: 5���\e„, r„�.l-` Heat Source: ('Gas ❑Electric DOther <br /> Building Type: ❑SFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units: ❑Commercial CI Industrial <br /> Type of Project: New ❑Addition ❑Remodel SIRepair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use <br /> DESCRIPTION OF WORK: An <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION ,; <br /> Type of Project: .New _ AddnAlteration _Repair Type of Project: New Addn _Alteration _Repair <br /> #of List of Fixtures #of List of Fixtures #of List of Fixtures #of List of Fixtures <br /> Fixtures Fixtures Fixtures Fixtures <br /> A/C-Air Handling Units Heat Pump Toilet Backflow Preventer(Inside Bldg) <br /> Forced Air Systems Unit Heater Bathtub Urinal <br /> Gas Piping \ Boiler Lavatory(Wash Basin) Drinking Fountain <br /> Water Heater Refrigeration Shower \ Floor Drain <br /> Gas Fireplace Wood Stove Kitchen Sink&Disposal Grease Trap <br /> Gas Range Ducting Dishwasher Roof Drains <br /> Clothes Dryer Hookups :Other: Clothes Washer Medical Gas <br /> Range Hood Water Heater \ Other: 4_„,„ <br /> Exhaust Fan Sink(Service/Bar/Mop/etc.) Other: \ <br /> 'SPRINKLER/SUPPRESSION SYSTEM- <br /> 'Chemical or Water ' No.of Heads <br /> 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 <br /> 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 <br /> 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, <br /> and/comply with the State Contractors Law 18.27 RCW and 296.200A WAC. <br /> City of Everett Official Use Only <br /> PERMIT# <br />