7820 HIGHLAND DR 2018-05-17 - Laserfiche WebLink

PERPl�i�'A�6�LYCATIOfV �UILDING I MECHANICAL I�LUfVi�IP�G I SIGN / SPRIP�KLER I DENIOLITIOPV CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT,WA 98201 (P)425-257-8810 � FAX 425-257-8857 �(E)everetteps@everettwa.gov� wv�nv.everettwa.gov/permits (�lase or �lack Ink Only �lease) PROJECT �1`TE It��'ORM/a'i'IOid PROJECT SITE ADDRESS: '�� G � �U�Cti '� . PROPERTY TAX#: ?i�j� �jD� LEGAL for new construction: Short PlaUsubdivision Lot No. (attach copy of long legal description) COtdTACi' INFORMA'i'10P1 OWNER NAME: �C_..•�,�r( j„� �5''�-"T; � �� TENANT NAME(If Commercial): OWNER MAILING ADDRESS: sTREET �� -G i cirv ^ v-�ii.� ' srnre �JG� ziP � �Z�� OWNER PHONE: �(y D • C� D � 2� � OWNER EMAIL: (j�; ��}-w� ,. � ��''�`t' � ' y4'�(,2{ � (_ qn.. CONTRACTOR NAME; CONTRACTOR ADDRESS: srrzeer CITY STATE ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: CONTRACTOR LICENSE#(REQUIRED): CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): PRIMARY CONTACT: OWNER ❑CONTRACTOR ❑ OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: '7j�,C n lG Z� l C� �`�"" �� -� LL Y w CONTACT EMAIL: U-� S�ft--rs �jl L�' p �c) {��) a �y�� BUILDING PERMIT APPLICATION Existing Use of Building: � ` �� Contract Price of Work: $ Proposed Use of Building: Heat Source: Gas ❑Electric ❑Other Building Type: R-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units: ❑Commercial ❑Industrial Type of Project: ❑New ❑Addition ❑Remodel �.8epair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: I- ^ �LG�a:� ��Li� t'�`'� ��'� v�e L�� 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 #�f List of Fixfures #�f Lisf of Fixtures #°f Lisf of Fixtures Fixtures 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 Heater Refrigeration Shower Floor rain _._v Gas Fireplace Wood Stove Kitchen Sink&Disposal ease rap' Gas Range Ducting Dishwasher oof Drains Clothes Dryer Hookups Other: Clothes Washer Medical Gas Range Hood Water Heater Other:� y�sz Exhaust Fan Sink (Service/Bar/Mop/etc. Other: ` SPRINKLER/ SUPPRESSION SYSTEM Chemical or Water No. of Heads �'--_-`' A 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 local law. The granting of a permit only authorizes approved work and no deviations therefrom.Deviations must first be authorized in wrifing from the Building Official before being aufhorized under any circumstance.1 am the owner, or l am authorized by the owner of this property to pertorm fhe work for which application is made, and I compl with the State Cont s Law 18.27 RCW and 296.200A WAC. City of Everett Official Use Only � �� . PM� � � � s Owner/Authorized Agent Signature Date (Revised 9/23/2016)