6202 COMMERCIAL AVE 2018-05-01 - Laserfiche WebLink

�E��'d9�'��L9CAT'606�1 f��9B��81��CF�A�fIC�L/ �Llli�fi�l��/�IG�! /��a4V��.E�/ �EY�OL@T90Y� 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 ��o��o� ��a�0��'��a�� r��t�� � PROJECT SITE ADDRESS: PROPERTY TAX#; LEGAL for new construction: Short PlaUsubdivision Lot No. (attach copy of long legal description) COId`�AC7' Ii��ORIi/d�9"IOOV OWNER NAME: TEIVANT iVAME(If Commerciai): OWNER MAILING ADDRESS: srReer CITY " STATE ZIP OWNER PHOiVE: OWNER ENiAIL: CONTRACTOR NAME: CONTRACTOR ADDRESS: s-rRee-r cirr STATE zia CONTRACTOR PHONE: COiVTRACTOR EMAIL: CONTRACTOR LICENSE#(REQUIRED): CITY OF EVERETT BU5INESS LICENSE#(REQUIRED): PRIMARY CONTACT: ❑OWNER ❑CONTRACTOR ❑OTHER(Piease Specify) CONTACT NAME: GONTACT PHONE: CONTACT EMAIL: �tJiLD1Yt9G PERMIT A1APL.ICAT'IOI�9 Existing Use of Building: Contract Price of Work:$ t�� 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 ❑Remodei ❑Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK:q ,� f , �r� �J�(�l �a� I-� G\'C'U�.l'T �j ' ��C� `�, (/C(�/ll�(/�. .._ � � -rV�(� c�a�'a� , ASSOCIATED BUILDING PERMIT#(if applicable): IVIECHANICAL PE62Nl1'�'APPLICAT101d PL6)MBING PERMIT ARPLl��TION Type of Project: _New _ Addn _Alteration _Repair Type of Project: _New Addn Alteration _Repair #of List of Fixtures #of Lisf of Fixtures #�f List of Fixtures #�f Lisf of Fixtures Fixtures Fixtures Fixtures Fixtures A/C—Air Handling Unifs 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 Medical Gas Range Hood Water Heater Other: Exhaust Fan Sink(Service/BadMop/etc.) Other: SPRIl+IKLEI�/SU�PFtESS60Id SIfST@M Chemical or Water No.of Heads • ACKNOWLEDGEMENT.�1 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 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 ore 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 1 comply it the State tract aw 18.27 RCW and 296.200A W,4C. City of Everett Official Use Only , 1 PERMIT# � ��Or� ��r� , �{� L /�► Ow er/Authorized A t Signature Date (Revised 9/23/2096)