2802 CEDAR ST 2018-04-20 - Laserfiche WebLink

PERMIT APPLICATIC BUILDING /MECHANICAL/ PLUMBING /SIGN /SPRINKLER/DEMOLITION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET,EVERETT,WA 98201 (P)425-257-8870 � FAX 425-257-8857 �(E)everetteps@everettwa.gov� �vww.everettwa.gov/permits (Blue`or.Black Ink;Only,Please) PROJECT SI'fE INFORNIATION . .... _. PROJECT SITE ADDRESS: Q � ��.0 �� S PROPERTY TAX#:�j'(„�} �� 3 l��S7C9o2jO LEGAL for new construction_ Short Plat/subdivision Lot No: ttach copy of long legal description) .. . , , CONTACT;INFORMATION OWNER NAME: � �' � � � j� TENANT NAME(If Commercial): OWNER MAILING ADDRESS: sTReer ciTr STATE zia OWNER PHONE: �� ' D UD OWNER EMAIL: , � Q O„ _.,...._...._.._,��,.._�.._._ _..__� _. ..�,....... ,_.._ . ._....._,�...,.._,... .,,._...�...._. . _,.. ..�._..._.., .. �_.. .. .... ... ....�_,._. .., .,.,..�__._ ...., .. .. . ..,._�,..�_.... ..� CONTRACTOR NAME; /�Gt (,� q / 1? (�� .L G, CONTRACTOR ADDRESS: srReer ?Q Q �7 fi�` (Je C. �'�' J p� crrr �/L.�r' Slftyll� srn-re �!/l� zia � �2 7O CONTRACTOR PHONE: �j' 3�0 �� CONTRACTOR EMAIL: C�r�,5 6`��O��ll��Gr So lij nC•-r L.(`a�� _ CONTRACTOR LICENSE#(REQUIRED): �� I � .��-�+ 3 � CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): � ��'6� .�.. _ ... .:. _r�_... .,.... _ . _.. .._,�,. ... .. _....... � _�.._ ,......_ _ .. _...,... ,_._....._.. _.,._.... �.... ...... . ...�... _......._...... ._, ._ �,� . .._... PRIMARY CONTACT: ❑OWNER CONTRACTOR ❑OTHER Please S eci � � i v lit � ( p �) �'Gt�s�p �y�_. �, �� •N S CONTACT NAME: CONTACT PHONE: G.�Z � 3 �p � � �.('S' �l/u 'V�P�'�J� �i'(i� l�(.� S'd/� CONTACTEMAIL: ![.L�I��S��(O��f�.cvSc� ha.'I�l`h `Gt � �1'1 BUILDING PERIVIIT APPLICATION`,. _ -_ � g.. ._. . , _ Existin Use of Buiidin � Contract Price of Work:$ " 0 Proposed Use of Building: Heat Source: ❑Gas ❑Electric ❑Other Buildin T pe: SFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units: ❑Commercial ❑Industrial Type of Project: ❑New �Addition ❑Remodel epair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF�WOR� O� �x� ��q r.d p�6(��s � �� Sr -7C(i/y � L�/ // ��X s �' � � � ��e 1 o C a rf— �," ((a�S Gt� �G�$�7'�r►�.�- CJ�Pel f�� ASSOCIATED BUILDING PERMIT# if applicable: MECHANICAL PERMIT APPLICATION , PLUMBING PERMIT APPLICATION Type of Project: _New Addn _Alteration Repair Type of Project: _New _Addn _Alteration _Repair #of List of Fixfures #of List of Fi�ctures #°{ List of Fixfures #�f List of Fixtures Fixfures 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 Water Heafer Refrigeration Shower Floor Drain Gas Fireplace Wood Stove Kitchen Sink&Disposal Grease Trap Gas Range Ducfing Dishwasher Roof Drains Clothes Dryer Hookups Other. Clothes Washer Medical Gas Range Hood Water Heater Other: F�chaust Fan Sink(Service/BarlMop/etc.) Other: SPRINKLER'�!SUPPRESSION SYSTEM: '; . Number of Heads ACKNOWLEDGEMENT.•I have reviewed this application and confirm the information contained herein is true and correck 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 theref�om.Deviations must first be authorized in writing from the Building Official before being authorized under any circumstance.l am the owner,or I am authorized by the owner of this property to perform the work for which application is made, and I comply with the State Contracto w 18.27 RCW and 296.200A WAC. City of Everett Official Use Only � g�// � PERMIT� �� ^� � / v wner/Authorized Agent Signature Date (Revised 5/20/2016) �� � � -