1131 RAINIER AVE 2018-05-30 - Laserfiche WebLink

PERMIT APPLICATI ../e:-. BUILDIt MECHANICAL/ PLUMBING / SIG PRINKLER/ DEMOLITION CITY OF EVERETT PERMIT SERVICES ' ...7' 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 fP; - , PROJECT SITE INFORMATION PROJECT SITE ADDRESS: PROPERTY TAX#: 1/3/ x24#44£'2 0914.../ v4¢4,1r WikDie20r LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) Mils-i 1,. 5,IA ,,,.„.:,‘,1„:,:„. CONTACT INFORMATION w. OWNER NAME: !y 1.1's 4f-rr Hays/N 4 4tat'vK-/ r- TENANT NAME(If Commercial): OWNER MAILING ADDRESS: ' STREET 310 7 t 0 L i3 p•tJ 4_ CITY '£Vitt-6-r,— STATE W A ZIP 1$2,a I OWNER PHONE: y2.5--8913 — ti ZZL 'OWNER EMAIL: CONTRACTOR NAME: rr1T. Allk£o2 /vise H44 me 144_ / jA/ ., CONTRACTOR ADDRESS: STREET /z•q a p,G/P/G I-/6e/lw41 / lit//T-• C- CITY 3c-4,-e-LNtJ14/rl - STATE W rQ ZIP of e5Z2 Y CONTRACTOR PHONE: 3(GO -3f3y.7/i00 CONTRACTOR EMAIL: rc /V r g../je-V 0114FMc_/NG•fp fret CONTRACTOR LICENSE#(REQUIRED):/)7T i AK$m q2 2,K4/ CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): Os3•5•o j PRIMARY CONTACT: ❑OWNER c CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 3l01)-394-z'tttjpp Y4,4 C..f'j Gt2rJ5TA+.tT CONTACT EMAIL: Y60145T01Ni'C. /ngmG/NC,•ed, ' .:,'-:,;;:',JL:T ).-Li ZZ,J. 4. BUILDING>PERMIT APPLICATION , Existing Use of Building: Contract Price of Work:$ 7S7, - , Proposed Use of Building: Heat Source: ❑Gas I:Electric ❑Other Building Type: ❑SFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units: ❑Commercial ❑Industrial , Type of Project: ONew DAddition ❑Remodel ❑Repair ' 07.1. ©Sign ❑Sprinkler CDDemolition ❑Change of Use DESCRIPTION OF WORK: j/ YN 7 t4 lu& Al W DOM ffr/ v' e 7-7fiG Ltot/t..1 $LIS ffr^'0 �vRy Fvre 'e� r V�'Ccr�G J LO 44.vr/ cLegita5 ASSOCIATED BUILDING PERMIT#(if applicable): 42467, ,2.nx 3 ,Vir'� !1 : MIT-APPL:ICATI 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 A/C-Air Handling Units Heat Pump Toilet Backflow Preventer(inide Bldg) 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 / 64cJ - -.r 1. Water Heater Other: Exhaust Fan RGFI6/. &4- Sink(Service/Bar/Mop/etc.) Other: / W 4rrt;rt• &I r4/,./ R fr(.4cf nau t . . , ,l . .O„ , .N SYSTEM {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# �� xt6o5- ©0( Owner/A orized Agent Signature Date (Revised 10/12/2015)