2225 CHESTNUT ST 2019-03-18 - Laserfiche WebLink

BUILDINt� I �ECHa4fdICAL.�i P�LUMBING CSIGN rSFRINISLER/ 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 {�lue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: � �:�'i^/�/j PROPERTY TAX#: D l O LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: �r,y TENANT NAME(If Commerciai): OWNER MAILING ADDRESS: srReer Z.ZZ-S r/" CIN ,�^� � � STATE ZIP 9��OI OVVNER PHONE: l�.�$"'- v L OWNER EMAIL: �_,JT,d/I�2 /vl .C CONTRACTOR NAME; CONTRACTOR ADDRESS: s-rReeT CITY STATE ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: CONTRACTOR LICENSE#(REQUIRED): CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): PRIMARY CONTACT: l�OWNER ❑CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: Z 5-j J Fs- G72 g �,.�� f,�jj}��N CONTACT EMAIL: �� BUILDING PERMIT APPLICATION - Existing Use of Building: �„t � � - :,Jc Contract Price of Wor . Proposed Use ofi Building: �„i� ut _,e� � ,t Heat Source: �Gas ❑Electric ❑Other Building Type: I�SFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units: ❑Commerciai ❑Industrial Type of Project: ❑New DAddition �Remodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: ��L D G4TE Tts��._F7- ,�.JD Si.,/K. �.�/TT'qGL. 3L ��X 3 L�� s,�vuJ.�..Z ��t,oc.�4Tr' �vaN- �-c•�l�D �3�A�2i.✓C� �.rr,r}c�S. ASSOCIATED BUILDING PERMIT# if applicabie): 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 Vsf of Fi�ctures #of List of Fixfures #of List of Fixtures Fixtures Fixfures Fixtures Fixtures A/C-Air Handling Units Heat Pump / Toilet Backflow Preventer(Inside Bldg) Forced Air Systems Unit Heater Bathtub Urinai 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: SPRINKLER/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 loca//aw. 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!am authorized by the owner of this property to pertorm the work for which application is made, and 1 comply with the State Contractors Law 98.27 RCW and 296.200A WAC. City of Everett Official Use Only PERMJ�#��^ — �� ��'> 7��7 `� `—�- Owner Authorized Agent Signature —""�--�. Date (Revised 9/23/2096) � Z