6307 BERKSHIRE DR A 2018-04-19 - Laserfiche WebLink

BUILDIA� / MECHANICALE PILUMBING CSIG��PRINKLER/ DEMOLITION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT,WA 98201 (P)425-257-8810 � FAX 425-257-8857 �(E)everetteps@everettwa.gov� www.everettwa.gov/permits (B(u or Blac .;vOnly Please) `��PROJECT�SITE INFORMATION �_��.�,_ � � PROJECT SITE ADDRESS: (�� /L � , PROPERTY TAX#:G� � CJ� GO � LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) � �� -` � � � � CONTIICT,INFORM%►TION � �� ' -�� .x , � � � �`� �� OWNER NAME: TENANT NAME(If Commercial): OWNER MAILING ADDRESS: srReer G CITY �� STATE ZIP Q OWNER PHONE: �25 OWNER EMAIL: CONTRACTOR NAME, /V � �f � ?7,J� CONTRACTOR ADDRESS: sTReer � /..�G�.Q��it/ • CITY ��jtJaa(J � STATE ZIP QD� CONTRACTOR PHONE: L{'Z5'f'] � CONTRACTOR EMAIL: g ,q.ti1 � /�//'j� � CONTRACTOR LICENSE#(REQUIRED): �V,��-J � CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): IQ7 PRIMARY CO �� __.. . ,.�_ � _n_ „a a.� _ M_ . � a _ _. _. __. . NTACT: ❑OWNER I�CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: !.� _ � �rLt j�) ��D�� - CONTACT EMAIL: � � �� ��, �'�� ` .BUILDING;PER,M.IT APPLrCAT10N�"�'� . ��,y„ � Existing Use of Building: Contract Price of Work:$ 3 J� � Proposed Use of Building: Heat Source: �as ❑Electric ❑Other Building T pe: ❑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: i?�P�ac� �xrsr�,.•�� G�-s �urr�vAcE w��-f� �v�e.u� GA-s ��cE �► S�Rr�,� LocA-n o,�, Nc� ,v�e�,�, G.�s 7�r P i�o�• f��sa 2EpLA-c� Ex�s-n�� �s�s Ebr W�-�2.TA-+�1�. tsv 1 TE.4 rl,e�cJ f�Ft�7` GUA?�T-A�l K. ASSOCIATED BUILDING PERMIT# if a licable : MECHANICAL'PERMIT:;APPLICATION ; PLUMBING PERMIT APPLICATION ' Type of Project: _New Addn Iteration Repair Type of Project: _New Addn _Alteration _Repair #of List of Fi�ctures #�f List of Fixtures #of List of Fixtures #°f List of Fixtures Fixtures Fixtures Fixfures Fixfures 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 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: Clothes Washer Medical Gas Range Hood Water Heater Other: Exhaust Fan Sink(Service/Bar/Mop/etc.) Other: �SP,RINKLER[,;;SIyPPRES�SION S�(STEM.: ' 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�rst 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 pertorm the work for which application is made, and I compiy with the State Contractors Law 18.27 RCW and 296.200A WAC. City of Everett Official Use Only PERMIT# �� l 8� �2. Owne uthor' d Agent Signature Date (Revised /23/2016)