1115 RAINIER AVE 2018-05-30 - Laserfiche WebLink

SPERMIT APPLICATI BUILDINCJIECHANICAL/ PLUMBING /SIG 'RINKLER/ DEMOLITION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT,WA 98201 (P)425-257-8810 I FAX 425-257-8857 1(E)everetteps@everettwa.gov I www.everettwa.gov/permits a :.: PROJECT SITE'INFO FATI N . .. F -. PROJECT SITE ADDRESS: PROPERTY TAX#: i//3- R"Ilex .9vf. , ISE leirr w44 laZo! LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) y CONTACT INFORMATION OWNER NAME: £VfJ4_TT fig N L l4 UT I{a R.IT y TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET 31C.5'.7 (,OLf33 N )t}t)iy/U 0 2......CITY 4.-vi K 4 Tr / STATE tn.A ZIP i g z i OWNER PHONE: 1-12:5- " R513 -12L"L OWNER EMAIL: CONTRACTOR NAME: /Y)j RI4K£l2 i'YlEGNAN/L 14'4- / /HG. CONTRACTOR ADDRESS: STREET 1/2,,,,5 PRG/IC'/!_ h'/6a/W/911 / Sw T . L - 1.A an, F4C NG1-/A4A► STATE yy A ZIP g62.2y CONTRACTOR PHONE: 360 -3554-,/g00 CONTRACTOR EMAIL: rGoN57r147—rg/'/98/Y1G/NG•ee,,vt CONTRACTOR LICENSE#(REQUIRED):/Ylre 4K$1'Vl q2 2 Kis/ CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): O5 5'O/ PRIMARY CONTACT: 0 OWNER C"CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: ?40,9-36'(-l' t)00 YciN«y C©nl -r44.IT CONTACT EMAIL: >LON57.gN70 n gen4WC•Go b a .W UuLI iN ..,PEIRMIT APPLICATION,` F.,.,. . " Existing Use of Building: Contract Price of Work:$ 7 cv 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 DAddition El Remodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: /n/IT/4-LG/NA. Ns w /7u/U e7/G kVIfi e• t./AKf 4.4/D Sw'�It1 air ><v e#V ASSOCIATED BUILDING PERMIT#(if applicable): I !v"r ;s f- ;,:,','i` -fitI€T.APPL.ICA_Tla PLUMBING.PERMIT APPLICATION�' 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) Forced Air S stems —Unit Heater Bathtub Urinal Gas Piping —Boiler Lavatory(Wash Basin) Drinking Fountain Water Heater —Refri.eration 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 rtrMi Water Heater Other: Exhaust Fan Sink(Service/Bar/Mop/etc.) Other: / WkT$.K. ()14/N ikooICI w& r 4: ,• � OPPRESSION,:00-0 1,- Number 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. City of Everett Official Use Only PERMIT# ,(, ‘ Owner/) orized Agent Signature Date (Revised 10/12/2015)