922 W CASINO RD 2018-04-20 - Laserfiche WebLink

PERMIT APPLICATIOI� BUILDIN�CHANICAL/ PLUMBING /SIGN ' �RINKLER/ 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 � �� ,: e.= ,� ., s��, �, �� c� .��+',��a� � � �„a� _�� `�a� �,>. :a,� - , � a��,.. � �� PROJECT SITE ADDRESS: 9OO W CaSIC10 RD �a PROPERTY TAX#: 003921-000-OO4-Q1 LEGAL for new construction: Short PlaUsubdivision Lot No. (attach copy of long legal description) -�:�''s �:'"'� �ry ''¢��S s��" �"+"- u��;`'° ^x`rM�"r '� r �-'�J„+k�s " t`.* T �:�; �"'�r �"`� ;�.Fi T�C .xp�¢. � ��i�.`.z�k�a^id�.r'rv,",'r'� � _ ��:. r �. �,;�".','-��':"�,_� ��aa , �r ��i�� 3� ,�� g�� `� z� k,'� a�s ��E�'�x � � �s�..�:�,� �- � ��. �,r� ,��* �. �..w� ��.� t�.�,�;��„ �.v Y� .-�w�� '� � OWNER NAME: PafkSICI@ AC uisition Preservation 7ENANT NAME(If Commercial): OWNER MAILING ADDRESS: srneeT 21515 Hawthorne BLVD STE 395 ��TM Torrance STATE CA Z�P 90503 OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME: HOIR1bG'f �'i0. CONTRACTOR ADDRESS: SIREET 1128 8th St E ��n Kirkland STATE WA Z�P 98033 CONTRACTOR PHONE: 4Z'rJ82ZZZ33 CONTRACTOR EMAIL: JaCOIJK C' I10I111I�@CgCO.COI11 CONTRACTOR LICENSE#(REQUIRED): HOLMBC*066ME CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): O�J1 003 PRIMARY CONTACT: ❑OWNER �CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: CONTACT EMAIL: � �..�.` ( '.� fl, s „� 1Y g,-*.t-f fi"�l�.`*-.*.k=�- �m s.. 5.-:.*;s�z.,�,. ■.. . s�wzz;� .J` a5 �'- F v7" �. 4, :�w �,.; �,w,:,� g� �'`� �5��_C �_. �.k. Y:v� �� .:�� `��c. ..� :Frs �,�.a.�,„u��u.��.�'tv�4� ��.C«f$hF'j+n�k"C�'�r� X ��A v�.5� �� . Existing Use of Building: Contract Price of Work:$ Proposed Use of Building: Heat Source: ❑Gas ❑Electric ❑Other Building Type: ❑SFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units: �Commercial ❑Industrial T pe of Project: ❑New ❑Addition �Remodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ' ❑Ghange of Use �escRiPrioN oF woRK: Replacing Fixtures Like for Like with no Modification to Rough in. ASSOCIATED BUILDING PERMIT#(if applicable : ;�.�� `��a� '�� Ri��f�►��.��►�r�o��;=;: �`�� :, ��.�� r��tn�ir�►��,��'��`�r�,�-tt��.�,h��.� ��►� � _�...,_F�r �. __: s Type of Project: _New Addn _Alteration _Repair Type of Project: _New Addn _Alteration _Repair #of List of Fixtures #�f List of Fixtures #of ��st of Fixfures #of List of Fixtures 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 t� 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 Q. Sink(Service/Bar/Mop/etc.) Other: r�� :.� �� ;�5��,�I��..��I.�RI�.,�'�.`��`�`� h' Chemical or Water No.of Heads ACKNOWLEDGEMENT.•I have reviewed this application and con�rm the information contained herein is true and correct. Work done pursuant to this permit must comply with current federal,state,and/ocal law. The granting of a permit only authorizes approved work and no deviations therefrom.Deviations must first be authorized in writing from the Building O�cial before being authorized under any circumstance.I am 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 State Contractors Law 18.27 RCW and 296.200A WAC. City of Everett O�cial Use Only PERMIT l��-�b �� Owner/Authorized Agent Signature Date (Revised 9 3/2016)