2506 74TH ST SE 2018-04-25 - Laserfiche WebLink

PERMIT'APPLICA►'TION BUILDING / II�ECFiP►NIC,4L 1 PLUNiBING /SIGN /SPRIIVKLER/ DEMOLITIOIV 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 B6acic Ink Only Please) ��oJ�cT s'r� '�Fo�nn�-r'o� PROJECT SITE ADDRESS: Q j' s' PROPERTY TAX#: LEGAL for new construction: Short PlaUsubdivision Lot No. (attach copy of long legal description) CONTAC7' IN�ORMATION OWNER NAME: � TENANT NAME(If Commercial): OWNER MAILING ADDRESS: sTReer Q � CIN � STATE L� ZIP �T� S OWNER PHONE: „ � OWNER EMAIL: �l "'"'�e�' CONTRACTOR NAME, � CONTRACTOR ADDRESS: sTReer crrv STATE zia CONTRACTOR PHONE: CONTRACTOR EMAIL• CONTRACTOR LICENSE#(REQUIRED): CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): PRIMARY CONTACT: ❑OWNER ❑CONTRACTOR ❑OTHER(Please Specify). CONTACT NAME: CONTACT PHONE: CONTACT EMAIL: BUILDING PERMIT APPLICATION 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 Type of Project: ❑New DAddition ❑Remodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: � � ^ � ��--C--- �� 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 Fixtures #of List of Fi�ctures #�f List of Fixtures #°f List of Fi�ctures Fixtures Fixfures 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(VVash 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 1 SUPPRESSION SYSTEM Chemical or Water No. 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 therefrom.Deviations must first be authorized in writing from the Building Official before being authorized under any circumstance.!am the owner,or l am authorized by fhe owner of this property to pertorm the work for which application is made, and l comply with the Sfate Contractors Law 18.27 RCW and 296.200A WAC. City of Everett Otficial Use Only P T# � Owner/Aut orized Agent Signatur ate (Revised 9/23/2016)