2326 SUMMIT AVE 2018-06-08 - Laserfiche WebLink

PERMIT APPLICATION #111 "-- BUILDING CHANICAL/ PLUMBING /SIGN I I'I RINKLER/ DEMOLITION CITY OF EVERETT PERMIT SERVICES � 3200 CEDAR STREET,EVERETT,WA 98201 (P)425-257-8810 I FAX 425-257-8857 (E)everetteps@everettwa.gov I www.everettwa.gov/permits jt,C3 ` 0 PROJECT SITE ADDRESS: Z 374.4) 19 wylask..0 PROPERTY TAX#: (DO2-‘27 CJ- bft moo LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) 1` j OWNER NAME: (,��a L. Evallaar ,t TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET ] (,ifit n i . ,&v . CITY E ieireir STATE WA ZIP ci t OWNER PHONE 47-5 35- ` Q() OWNER EMAIL Gi 1t i� `t. (►�� CONTRACTOR NAME: 4 (Vly L R othettur CONTRACTOR ADDRESS: STREET 2371 6L Matt L PcVC,i � 1 CITY v �j�'[ STATE v4 A., ZIP a2 2-0 G CONTRACTOR PHONE: 42.3-a6liv—Iv II CONTRACTOR EMAIL: ai I,-e1 Q, e). iN L nA, CONTRACTOR LICENSE//REQUIRED): CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): PRIMARY CONTACT: NgOWNER 0 CONTRACTOR 0 OTHER(Please Specify) CON ACTN IE/: CONTACT PHONE: s�/� �p L1 L- 0n,kiOa' CONTACT EMAIL: ai� � o-U 1 ...49w Existing Use of Building: Contract Price of Work:$ /2.-06 Proposed Use of Building: Heat Source: ❑Gas DElectric ❑Other Building Type: ❑SFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units: ❑Commercial ❑Industrial Type of Project: CI New ❑Addition ❑Remodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler CI Demolition ❑Change of Use DESCRIPTION OF WORK: I x i v�g .e�5� ► v13 -(ikrna ce t ij ort-0 V-ext 6 4 c.uck• ASSOCIATED BUILDING PERMIT#(if applicable): 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 min Forced Air S stems —Unit Heater _Bathtub _Urinal MI.Gas Piging • 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 D er Hookups —Other: —Clothes Washer —Medical Gas Ranee Hood —Water Heater —Other: Exhaust Fan —Sink(Service/Bar/Mop/etc.) Other: 4.70,V01 tOrA91 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.lam 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 RCW and 296.200A WAC. City of Everett Official Use Only PERMIT# ,J./tG`/Ad ikiVI/17/ Owner/Authorigent Signature Date (Revised 9/23/2016)