3535 NORTON AVE 2018-05-30 - Laserfiche WebLink

PERMIT APPLICATIONIII I 4:;:—/-":"4 BUILDING/ MECHANICAL/ PLUMBING/SIGN / I1INKLER/ 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 #fiti@©! BIaak InkC� Peas�T i„ui , . _.. _ . � � , ,7;i, .i ; _/;i, 1, ,. . ham.i ,,. �i ,.i,,i , m PROJECT SITE ADDRESS: 5S.55 Ivi Z�l CUL., PROPERTY TAX#: LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) OWNER NAME: (JJa ft * t ►IOYY1 TENANT NAME(If Commercial): S— OWNER MAILING ADDRESS: STREET 3S-- S-- 1\49 12— Vy (/l,JL., v/7� cry e.v'vr`•'�•'i l STATE N a ZIP 1 O 2-6 1 OWNER PHONE: 2-64) .234/• ' I I OWNER EMAIL: CONTRACTOR NAME: f) I ( z`E' 1-1-Dint eurn LSb((.'-fr . ( OY- CONTRACTOR ADDRESS: STREET PD r�U� `?1 CITY 1,/tjet at e, STATE a_ ZIP (�Z�� CONTRACTOR PHONE: (�-ri L` �� • ��g• ��av� CONTRACTOR,r� EMAIL: (��I 0 �G�,,��$��U ��1v��—�'° a J CONTRACTOR LICENSE#(REQUIRED): P C`1 r`(•:�[(1� -/ CITY OF EVERETT BUSINESS LICENSE#(REQUIRED):QJ? g PRIMARY CONTACT: 0 OWNER 'CONTRACTOR 0 OTHER(Please Specify) _, CONTACT NAME: CONTACT PHONE: (N.a.) /� , q Zj( ��, L C\ &-(\ CONTACT EMAIL: I r1 1 `A.J 4424,, E '- 1L 1 .L16YY-) Existing Use of Building: Contract Price of Work:$ I-DO Proposed Use of Building: Heat Source: Sas ❑Electric ❑Other Building Type: SFR-Detached ❑SFR-Attached ODuplex ❑Multi-Family-#of Units: ❑Commercial ❑Industrial Type of Project: ❑New ❑Addition ❑Remodel Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WOR ^ ASSOCIATED BUILDING PERMIT#(if applicable): . . MECHANICALPERMJT1APPL.I C; T1ON ..... PLUMB1 3 RM �'1,, ,1�, TJ 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 #of List of Fixtures Fixtures Fixtures _Fixtures Fixtures NC—Air Handling Units Heat Pump Toilet Backflow Preventer(Inside Bldg) I 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: SPR( KL-:,$40.0 I S Y�EM '1 (Chemical or Water I INo.of Heads ACKNOWLEDGEMENT:/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.l am the owner,or I am authorized by the owner of this property to perform the work for which application is made, an, compl ith the State Contractors Law 18.27 RCW and 296.200A WAC. City of Everett Official Use Only i :� 1 211 PERMIT Z �- o� 5 Ow r/ thorized Agent Signature 1 Date (Revised 9/23/2016)