2802 CEDAR ST 2018-04-30 - Laserfiche WebLink

PERMIT APPLICATIO� BUILDING 1 MECHANICAL./ PLUM�ING /SIGN /SPRIIVKLER/ 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 (Blue or Black Ink Only Please) PROJECT SITE INF�RMATION PROJECT SITE ADDRESS:�BO�Z Cc`,O/9/t �ST' �-`�'cRE77'�Gtl�'/ p8�I PROPERTY TAX#: LEGAL for new construction: Short PlaUsubdivision Lot No. (attach copy of Iong legal description) CONTACT INEORMATION OWNER NAME: ,a��" TENANT NAME(If Commercial): OWNER MAILING ADDRESS: sTREEr p /�0�� CITY STATE /Y� ZIP � OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME: CONTRACTOR ADDRESS: srReer CITY STATE ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: CONTRACTOR LICENSE#(REQUIRED): CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): PRIMARY CONTACT: �I OWNER ❑CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: CONTACT EMAIL: BUILDING PERMITAPPLICATION 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 ❑Addition ❑Remodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: 1��G�,CQ. -�,V�,�c;a� ASSOCIATED BUILDING PERMIT# if a plicable): MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION Type of Project: _New_ Addn Alteration _Repair Type of Project: _New _Addn Alteration _Repair #of List of Fixfures #�f List of Fixtures #°f List of Fixtures #�f List of Fixtures Fixtures Fixtures Fixtures 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 Medicai Gas Range Hood Water Heater Other: Exhaust Fan Sink(Service/Bar/Mop/etc.) Other: SPRINKLER7 SUPPRESSION SYSTEM ' Chemical or Water No. of Heads ACKNOWLEDGEMENT.�l have reviewed this application and confirm the information contained herein is true and correct Work done pursuant to this permit musf comply with current federal,state,and/oca/law. The granting of a permif 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.I am the owner,or/am aufhorized by the owner of this property to perform the work for which application is made, and 1 comply wifh the State Contractors Law 98.27 RCW and 296.200A WAC. City of Everett Official Use Only PERMIT# Q t�3 l.� ,?0�8 � L> " �6� er/Authorize ' nature ate (Rev� ed 9/23/2016)