2216 OAKES AVE 2018-06-08 - Laserfiche WebLink

girPERMIT APPLICATION BUILDING I MECHANICAL I PLUMBING I SIGN i SPRINKLER I DEMOLITION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET,EVERETT,WA 98201 • (P)425-257-8810 1 FAX 425-257-8857 1(E)everetteps@everettwa.gov I www.everettwa.gov/permits `- •: PROJECT SITEiNFORMATI,ON �° _ _ PROJECT SITE ADDRESS:Zu QPt'etrierat PROPERTY TAX#: LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) at gianIanitiegagagnEMMCONTACTINFORMATION. : „_..,.,,,., ,. t OWNER NAME: C. TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET 2 I O- 0C.,1Z COY �Yl EP44F. STATE ZIP Tie/1ZOWNER PHONE: ILS OWNER EMAIL: CONTRACTOR NAME: u-r'f'w � V L CONTRACTOR ADDRESS: STREET 70 j J t�/( C t�(j /�4 ;1 f c v i Y 9141Yn(6, (_ STATE � 4- ZIP l liI CONTRACTOR PHONE: C ( °) 5 -51,7< CONTRACTOR EMAIL: & reel.tLIG,d�,BO$`,C 04 LO`t,,, CONTRACTOR LICENSE#(REQUIRED): CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): PRIMARY CONTACT: ❑OWNER rCONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: Cg*te95 (9/43 ( WPair .7 i et0464 CONTACT EMAIL: \1c-A v. 60.117.16,0) (1), f ,, coo/A_- 4 EI' h „r.': BUILDiING`vPERMIT,APPLICATION.. ... s... ..,< Existing Use of Building: 554-tid Contract Price of Work:$ 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 ❑Addition ❑Remodel ,%Repair ❑T.1. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: Kci4 turd 5 � � LZ� c� �,,,�( �J ASSOCIATED BUILDING PERMIT#(if applicable): MECHANICAL PERMiT,APPLICATION „, _.,_. , . SPLUMBING;PERMWOPLICATIONM_ ,,,.:._,,. Type of Project: _New_ Addn Alteration _Repair Type of Project: New Addn Alteration _Repair #of List of Fixtures #of List of Fixtures #°f List of Fixtures • #°f List of Fixtures Fixtures Fixtures Fixtures Fixtures NC—Air Handling Units Heat Pump Toilet Backflow Preventer(Inside 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 Water Heater Other: Exhaust Fan Sink(Service/Bar/Mop/etc.) Other: "`_, ,SPRINKLER:'LSUI PRESSi:ON 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.1 am the owner,or!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 RCWand 296.200A WAC. City of Everett Official Use Only PERMIT#-"B `,--7 t _ _- Owner/'orize. -gent Signature Date (Revised 10/12/2015)