918 MAPLE ST 2018-05-22 - Laserfiche WebLink

�ER111191",4PPLICATIO �111LDING / i'Vi�CFIANIC,4L / PLUIViBINC� / SIGN I SPRiN�LEI� / DEiVIOLITION 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 �tack Ink Only �lease) ��OJECT �OTE 6NFORMATION PROJECT SITE ADDRESS: �� S v�`t�� -� � � ' ' �` �/'� PROPERTY TAX#: LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTAC'� INFORMA7'ION OWNER NAME: `� ,�� ,t��1� TENANT NAME(If Commercial): OWNER MAILING ADDRESS: sTREET �V' '7 � � � �-��,(' CITY � STATE ZIP � OWNER PHONE: �t; � � � � �% OWNER EMAIL: � c�� t�� ` 1��1G�i �• �"��1 CONTRACTOR NAME: CONTRACTOR ADDRESS: sTREET CITY STATE ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: CONTRACTOR LICENSE#(REQUIRED): CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): PRIMARY CONTACT: ❑ OWNER ❑ CONTRACTOR ❑ OTHER(Piease 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: (��{,l.�c�. ��v> ��v'�'��"N� �1��,-rC'� ! _,�. 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 ��f List of Fi�cfures #�f Lisf of Fixtures #�f List of Fixtures �°f List of Fixtures Fi�ctures 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 Shqwer Floor Drain Gas Fireplace Wood Stove Ki hen Sink&Disposal Grease Trap Gas Range Ducting ishwasher Roof Drains Clothes Dryer Hookups Other. ' Clothes Washer Medical Gas Range Hood Water Heater Other: Exhaust Fan C/ '. Sink(Service/Bar/Mop/etc.) Other: SPRINKLER/ SUPPRESSIAN 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 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 befo�e being authorized 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 1 comply with the State Contractors Law 18.27 RCW and 296.200A WAC. � /� �� City of Everett Official Use Only i;-� �U' � j , �( � PERM��v '� .. %—� I I „� V Y �---- Owne/ uthorized Agent Signature Date (Revised 9/23/2016)