7025 MORGAN RD 2018-05-30 - Laserfiche WebLink

PERMIT APPLICATION AlS" BUILDING/MECHANICAL/PLUMBING/SIGN /SPRINKLER/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 5 '"'.tel Y a E f ` # _. _ ,,! E _y PROJECT SITE ADDRESS: 702C) lvtfc,\fty . 6 PROPERTY TAX#: LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) OWNER NAME: iS_AXIle-.,`\C ,,\ J TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET 7026 kA r,r _J an _ �`D CITY E " STATE l�e ZIP C\7D3 OWNER PHONE: V`v OWNER EMAIL: CONTRACTOR NAME: l 'l 01 ILic-3 .cNg 1-1-VPC- Li"- CONTRACTOR ADDRESS: STREET )C ckwo A� \(1 CITY IUa�Yd �`_'� STATE L F) ZIP Z/ 7 CONTRACTOR PHONE: L-125-6- B37-G CONTRACTOR EMAIL: iVVWWS'` J�JaCXX�cpc \. cull-) CONTRACTOR LICENSE#(REQUIRED): G*PLS,r i10, L (P CITY OF EVERETT BUSINESS LICENSE#(REQUIRED) 0 I, PRIMARY CONTACT: ❑OWNER CONTRACTOR 0 OTHER(Please Specify) /'f Y CONTACT NAME: Ivt\r"G jv`St, CONTACT PHONE: /_2s - ` 1- 3, CONTACT EMAIL: Cpe(1�)S UCVJC • Y�>\. Loy1,--) J ! vr.._ ..., ,a', iii/ r``a`a'`',,, 41:101007:::::.:4 00 „...w,.v 4::.112:71'L:214-3 ii ,,nt .,.,.��.,'''.' -t,-.1-7- � r p r"r>.,- .,EPIC �:u„ Existing Use of Building: ' (P\n' \�\ 7 Contract Price of Work:$ Lor-1-7 Proposed Use of Building: ' .-, %AeO1 Heat Source: as ❑Electric ❑Other Building Type: ❑SFR-Detached *FR-Attached ❑Duplex ❑Multi-Family-#of Units: ❑Commercial 0 Industrial Type of Project: ONew ❑Addition tiSktemodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: Ch ne, Ic wcx\ aQha � o \T 6v.0 n � -- ASSOCIATED BUILDING PERMIT#(if applicable): ' " Z!7 . X11 - .i.ioitF ! Type of Project: _New Addn _LAlteration _Repair Type of Project: _New _Addn ,Alteration Repair Fixtures List of Fixtures Fixtures List of Fixtures #of List of Fixtures #of List of Fixtures Fixtures Fixtures NC-Air Handlin• Units -Heat Pump Toilet Backflow Preventer(Inside Bldg) 1.1.Forced Air S stems -Unit Heater Bathtub Urinal Gas Pipin. -Boiler Lavatory(Wash Basin) Drinking Fountain Water Heater -Refrigeration Shower Floor Drain Gas Fireplace -Wood Stove Kitchen Sink&Disposal Grease Trap Gas Ran.e a'Ductin. Dishwasher Roof Drains Clothes D er Hookups -Other: Clothes Washer Medical Gas Ran.e Hood Water Heater Other: Exhaust Fan Sink(Service/Bar/Mop/etc.) Other: 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 before being authorized under any circumstance.I am the owner,or I am authorized by the owner of this property to perform the work for which application is made, and I comply with the State Contractors Law 18.27 RCW and 296.200A WAC. /� 7 City of Everett Official Use Only die'/ L � .) .-6 (/ PERMIT# )'l/,l l� I l/ nerd-of •' rgentSignature Date (Revised 9/23/01.