3515 HOYT AVE 2018-05-21 - Laserfiche WebLink

��i�sa��Lac�rho� �191L.DONG / MECH,4NICd�L/ PLIJP�i�ING / SI(�N / SPF29N�LER/ DEMOLIT'ION 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 �lack Inl� Anly Please) PROJECT Sli'E IIVFOlZM/4°i°ION PROJECT SITE ADDRESS: 5(S � �„� s� �y,i�z1 ' .�� PROPERTY TAX#: LEGAL for new construction: Short PlaUsubdivision Lot No. (attach copy of long legal description) GONTACY INF'ORMATION OWNER NAME: TENANT NAME(If Commercial): OWNER MAILING ADDRESS: sTReer aTv sTnTE zi�� OWNER PHONE: OWNER EMAIL: ONTRACTOR NAME: �� ,_; CONTRACTOR ADDRESS: sTREET � S I� ,/c�r w� CITY �'�/�,-�-1-I STATE y� �J. ZIP �?' CONTRACTORPHONE: �izS— (-,�:,- ��0,3 CONTRACTOREMAIL: CONTRACTOR LICENSE#(REQUIRED): �,�j l(3"� 7.5� 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 ❑Addition ❑Remodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: �t�� 10 I 1 � �� I I � I I `� �- l I� O�� 1 c�'I ASSOCIATED BUILDING PERMIT#(if applicable): �I�U��/O� ! V MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION Type of Project: _New _ Addn _Alteration _Repair Type of Project: _New _Addn _Alteration _Repair #°f List of Fixtures #�f Lisf of Fixtures #of List of Fixtures #of List of Fixtures Fixfures 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 Drain Gas Fireplace Wood Stove Kitchen Sink&Disposal Grease Trap Gas Range Ducting Dishwasher Roof Drains Clothes Dryer Hookups Other: Clothes Washer Medical Ga$ 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 confained herein is true and correct. Work done pursuant to this permit must comp/y with current federal,state,and local law. The grantrng 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.I am the owner,or l am authorized by the owner of this property to pertorm the work for whrch application is made, and l comply with the State Contractors Law 18.27 RCW and 296.200A WAC. City of Everett Official Use Only PERMIT# � � a---� �--� 7' I� — 17 Owner/Authorized Agent Signature � Date (Revised 9/23/2016)