1907 BAILEY AVE 2018-05-29 - Laserfiche WebLink

PERMIT APPLICATION ej--._ BUILDING I MECHANICAL/PLUMBING I SIGN I SPRINKLER I DEMOLITION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET,EVERETT,WA 98201 (P)425-257-8810 I FAX 425-257-8857 I(E)everetteps@everettwa.gov I www.everettwa.gov/permits gt WiusN « t :PROJECTSTE:INFORM AJON. � _� u_ g PROJECT SITE ADDRESS: ,t PROPERTY TAX#: `(10 1 t1 re rue Wa, LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) gelitgigiatlaa-MO:SintgRaWaletiNtAct2INFORMATION 3} :i i- : r._ 'ni _ OWNER NAME: (pit f IJeq tJ o TENANT NAME(If Commercial): OWNER MAILING ADDRESS: ' STREET j90``) ,i ; 1,�� - ,/e.A. CnY I STATE ��/h, ZIP 927ca03 OWNER PHONE: C/'iD- 57—--a` c)•-- X0,61.') OWNER EMAIL: CONTRACTOR NAME: j,s U/tt 6-0 5 0.2c a Ki CONTRACTOR ADDRESS: STREET 36� '�L� c/v�_ /V(�/ (J�j CITY (.t low STATE (, /4- ZIP // O a92 L! l-j7'7 CONTRACTOR EMAIL: e�JG; l //� �J CONTRACTOR PHONE: �-�— 3 (p.�� ,ScUu_, as{.7.o v K� `J vtG c tc`.oK _ CONTRACTOR LICENSE#(REQUIRED): UC S b.� j'(�(D CITY OF EVERETT BUSINESS LICENSE#REQUIRED): PRIMARY CONTACT: 0 OWNER R_CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME:yTCONTACT PHONE: (ID 5----3 9 b_ 13 LJ(-in it/ L 1 Kavi/i` o, I CONTACT EMAIL: J►(1,74 ty V 5(0.2 v`10 ;1.ciD`^1 Gf z;} d i S -B,ULLbING PERMIT APPLICATION` .. . r_ .AVf SitatiORMit [ Existing Use of Building: Contract Price of Work:$ rO. O Proposed Use of Building: S:,,s 1,) Fie Fie,.--- Heat Source: ❑Gas Ellectric ❑Other Building Type: ❑SFR-Detached ❑SFR-Attached ODuplex ❑Multi-Family-#of Units: ❑Commercial CI Industrial Type of Project ❑New ❑Addition 0 Remodel tepair ❑TJ. ❑Sign ❑Sprinkler ❑Demolition ['Change of Use DESCRIPTION OF WORK: Re, 1 Y RV 0'c. j ):n U>- oft°'' dg' lc r ASSOCIATED BUILDING PERMIT#(if applicable): Mt*GHANI AL;PERMItAPP14 dAtibiPRIN ,y .ER .„ ?,.,;s Pi,UMWNG,.FERME[I APPLICATION_,-, R S , 1 Type of Project: _New_ Addn Alteration Repair Type of Project: _New Addn Alteration Repair #of List of Fixtures #of List of Fixtures #of List of Fixtures #°f List of Fixtures I Fixtures Fixtures Fixtures Fixtures f A/C—Air Handling Units Heat Pump Toilet Backflow Preventer(Inside Bldg) - Forced Air Systems Unit Heater Bathtub Urinal —J Gas Piping Boiler Lavatory(Wash Basin) Drinking Fountain i Water Heater Refrigeration Shower Floor Drain 1 Gas Fireplace - Wood Stove Kitchen Sink&Disposal Grease Trap Gas Range _Ducting Dishwasher Roof Drains Clothes Dryer Hookups Other:/ _ Clothes Washer Medical Gas I Range Hood Water Heater Other: g Exhaust Fan Sink(Service/Bar/Mop/etc.) Other: s SPRlN1ELER=./,AUPPRESTON SY__„-._Ir__:. Number of Heads g 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 before being authorized under any circumstance.I am the owner,or lam authorized by the owner of this properly to perform the work for which application is made, and I comply with the State Contractors Law 18.27 RCWand 296.200A WAC. / PERMIT# City of Everett Official Use Only ,/1 . /—j 10-17T Ill t 1B b l 6 \ Owner/Auth ri •d Ag- g ure Date (Revised 10/12/2015) 111