816 35TH ST 2018-04-16 - Laserfiche WebLink

#11',.04 -' PERMIT APPLICATION BUILDING / MECHANICAL/PLUMBING / SIGN / SPRINKLER / DEMOLITION rA ".444/011 CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET,EVERETT,WA 98201 IP)425-257-8810 I FAX 425-257-8857 1(E)evorciteps@overettwa.gov I www.everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: 3 ( (I' 65i-ii s--1-- PROPERTY TAX#: LEGAL for new construction: Short PLi17;.ihd!vi ;i.>n Loi No. (attach copy of long legal description) — CONTACT INFORMATION OWNER NAME: ) 0V'r'I e -TV'c�-}Yyyyl TENANT NAME(If Commercial): OWNER MAILING ADDRESS:_ STREET .„.1....04,e. CITY l/1 `C/ STATE /4- zip ct 8 aD1/ OWNER PHONE: ,2D(p /ig/ RgI I !OWNER EMAIL: !!! CONTRACTOR NAME: L.) ' 4 Het-t--TIn6 CONTRACTOR ADDRESS: STREET '416 VV-00.d LCCLLA\ - _._ crr /JCZell ! - STATE WA- ZI? ^yam I CJ 2S ) _- CONTRACTOR PHONE:Lt�5 ..5� CONTRACTOR EMAIL: datable i )C(rriheai-j I . cool CONTRACTOR LICENSE#(REQUIRED): CM ae>..t.My> -71d n ICITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 1(.pC1 ri PRIMARY CONTACT: 0 OWNER 0 CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: n • CONTACT PHONE: L} �S I cc o 7b CONTACT EMAIL: J deo b I`� (,)Cnei 1,,,ea_±inC .i'o rn BUILDING PERMIT APPLICATION Existing Use of Building: Contract Price of Work: S 37 0E.,7 4f4" � Proposed Use of Building: Heat Source: 81,Gas ❑Electric DOther __ Building Type ❑SFR-Detached ❑SFR-Attached ODuplex ❑Multi-Family-#of Units. _ ❑Commercial CI Industrial Type of Prninrt New DAddition DRemodel ❑Repair ❑T.I. ❑Sir.1n ❑Sprin4:ler ❑Demolition ❑Chriw;e of Use DESCRIPTION OF- WORK: I VI'S \ CLI/0 .1 CS5 U2 C(/4W ke-Q4er ASSOCIATED BUILDING PERMIT#(if applicable): MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION Type of Project: Now Addn _Alteration —Repair Type of Project: New Addn _Alteration Repair #of _ #of #of — Fixtures List of Fixtures List of Fixtures #of List of Fixtures List of 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 1 Water Heater Refrigeration —Shower Floor Drain Gas Fireplace Wood Stove Kitchen Sink&Disposal Grease Trap Gas Range _ g 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 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 1 am authorized by the owner of this property to perform the work for which application is made. and I comply with the Stale Contractors Law 18.27 RCW and 296.200A WAC. City of Everett Official Use Oniy PERMfT#al 1i 0 Ci- DM ,O,vlvJAuthorized Agent egnatnre J Date (Revised 9/23,2016) a L-"