2300 KASCH PARK RD 2018-11-06 - Laserfiche WebLink

�IE9�I�i9�A��'LIC,4T90N �UIL.�If�G / iViECFi,4NICA�/ �LIJ�d�IY�C� ! SIC��! / �PR9�KLER/ ��NIOLI�IOPV 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 (�lase or �la�k 9nk On9y Ple�se) PR�JECT SITE INF0�6ViA'T90N PROJECT SITE ADDRESS: �� S� �'J F—� ��'P PROPERTY TAX#: LEGAL for new construction: Short PlaUsubdivision Lot No. (attach copy of long legal description) COId`i'14CY InIFORMAT90Rl OWNER NAME: �jiy1/yJG/Ii%'T� � rv� TENANT NAME(If Commercial): �j�(!�"lG�(,rt � �l OWNER MAILING ADDRESS: srREET 'f JCC �7IL��J/ � CITY �G�� ST�.TE ZIP OWNER PHONE: OWIVER EMAIL: CONTRACTOR NAME: r�L CONTRACTOR ADDRESS: srREET �� l/� �� G F�^ cirr �lJc��/!(�j{" sTare �.� ziP � �� CONTRACTOR PHONE: CONTRACTOR EMAIL: CONTRACTOR LICENSE#(REQUIRED): �fi�,Q�E�O�E`(IGCf� CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): PRIMARY CONTACT: ❑ OWNER ❑ CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: ap(>— G�� .�j�1�� �(�� ' �� CONTACT EMAIL: � � ��d r�C, G�J-�iij�. BUILDING PERMIT APPLICATION Existing Use of Building: Contract Price of Work: $ S �1J�d 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: p�� s ��y�� ,�a� zo,� �� % v��rs,� �c�P��-� � v��s � c� ( , ASSOCIATED BUILDING PERMIT#(if applicable): MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLI�ATION Type of Project: _New _ Addn _Alteration _Repair Type of Project: _New _Addn _Alteration _Repair #of List of Fixtures #�f List of Fixtures #�f List of Fixfures #°f List 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 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/ SUPPRESSION SYSTEM Chemical or Water No. of Heads 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 cu�rent 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 bein rized under any circumstance. I am the owner,or I am authorized by the owner of this property to pertorm the work for which application is made, and I comply with the S e Contr ctors Law 18.27 RCW and 296.200A WAC. City of Everett Official Use Only / PERMIT �°O � Zd/ � — �� / Owner/Authorized Agent Signature Date (Revised 9/23/2016J �/Z '� /