10617 27TH DR SE 2018-04-16 - Laserfiche WebLink

08/10/2017 THU 11: 56 FAX Fast Water Heater IZI007/007 t DI .-g g • PERMIT APPLICATION ��' BUILDING I MECHANICAL/PLUMBING I SIGN/SPRINKLER/DEMOLITION CITY OP EVERETT PERMIT SERVICES 3200 CEDAR STREET,EVERETT,WA 96201 (P)425.257 8810 I FAX 425-257.8E157 I(E)evereltepet evere(Iwe.gov I www.everedwa.govipermite (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: b I � r 'oe PROPERTY TAX t1: 0 0 r 0- r D/ e W LEGAL For new construction: Short PlaNsubdivlslon Lot No (attach copy of long regal desaripUon) w CONTACT INFORMATION OWNER NAME: ! ! 1 J- (e,I\I1./1". TENANT NAME(if Commercial): W, OWNER MAILING ADDRESS: sii€Er12 I"4 p(3 vie t),E- on'? Ltl,'/('CS I STATE 1AAJir 1 .r'. U D OWNER PHONE: of I r. ' OWNERnEMAIL: -- fit CONTRACTOR NAME; JT IAI Ai i IA N'1 fi. 1� CONTRACTOR ADDRESS: STREET `Y%�{15..j Zte IY:AAL S ±tx C 1 __ CrtY V 11�I / .� STATE l t� ZIP / S6 V; CONTRACTOR PHONE: (-VS IO' kji" - ,Q CONTRACTOR EMAIL:P em IT 5 @ I, i-uJDO\ r' !—CO fvt� , f1 1 CON•TRACTOR LICENSE#[REQUIRED):fA5 }�V C -j 1jG IciTY OF EVERETT BUSINESS LICENSEiI(REOUIRED)y V`753 PRIMARY CONTACT: El OWNER (CONTRACTOR ❑OTHER(Please Specify) .. CONTACT NAME: /� (` ` 1 CONTACT PHONE: L1 Lo 1T,gM ^ .4 1 �t� CONTACT EMAIL: �,{ryy1,1- pn - C tAA �p �. ,fr, �1/1/) — . [ Yy"d�" BUILDING PERMIT APPLICATION ' j Existing Use of Building: ,5 � Contract Price of Work:_. I"I L,_11 _ Proposed Use of Milian': C Heat Source: Gas ElElectrlc Mather -. Building Type: R-Detached [ SFR Attached ODuplex ❑Multi-F=amily-#of Units ❑Commercial ©Industrial Type of Project: ❑New ElAddltron Cl Remodel (Repair DTJ. ❑Sign CISprInkler 11Damolttlon IJChange of Use DESCRIPTION OF WORK: f inn 0\i' l re,p\ e_, CIA- 3 was-\- \A e 0 'r ASSOCIATED BUILDING PERMIT#2lr applicable): - __ • MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION Type of Project: _Now,— Addn _Alteration _Repair Type of Project: New _,Addn _Altterator _Repair #of List of Fixtures #of List of Fixtures Oaf List of 17xt' _ #of List of Pictures Ffxtaree Fixtures Fixtures Fixtures NO W Alr Handling Units Heat Pump Toilet Backflow Preventer side Bldg) Forced Air Systeme Unit Heater Bathtub Urinal Gas Piping Boller Lavatory(Wash Basin) Drinking Fou •:In 0Water Heater Refrigeration Shower Floor DrElrr Gas Pira.face Wood Stove Kitchen Sink&Disposal re rap Gas Range Ducting Dishwasher Drains __ __5Clathee Dryer Hookups Other Clothes Washer. e.cal Gas Range Hood Water Heater Othe. Exhaust Fan - _ Sink Service/Bar/Mo./etc. Other: p swlE I .E sUP �RSSNo_ FSTtIIM ... , � mio®t or W ''--------.pin.of Heade • ACKNowLEDGEMsNf:I have reviewed this application and centimp the information contained herein is hue end corned letrrk done pursuant to this permit must comply with current federal,state,end local law.The granting of a permit only author/8N approved work end no deviations therefrom.Deviations must first be authorized in wrung ham the Building Official before being eulhor/zed under any circumstance.I em the owner,or I am authorized by the owner of thfs properly to perform the work for which application Is made, end I complywlM the Stele Contractors Law 10,27 ROW and 2oa200AWAG �/ /City1ofEvere(tt�Of_Ircai Use Only � J• I� '/lb �� PERM1 1"10 1 J�O3 'OwnL4)1e)utvd Ag SignaturerDate (Revised b/2 11t116)