1132 WETMORE AVE 2018-06-08 - Laserfiche WebLink

PERMIT APPLICATION BUILDING/MECHANICAL/PLUMBING/SIGN I SPRINKLER/DEMOLITION '° 1 Li —11":"A CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET,EVERETT,WA 98201 (P)425-257-8810 f FAX 425-257-8857 I(E)everetteps@everettwa.gov I www.everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: I j') 2 6x+AA.ant— Suter PROPERTY TAX#: LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of tong legal description) CONTACT INFORMATION OWNER NAME: )gyne.,5 Co&few— TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET ((l Z LOCI-rytetr.e., A(-K.... CIN °C,M -`4A+ STATE C J ZIP 418 Za) OWNER PHONE: 2,O(o- 4 91- 3 25 a OWNE MAIL: CONTRACTOR NAME: J G.-K L j 4--(-114-11 k C l r..LAka - 0.....011/4.9Cr- CONTRACTOR rj'Z ADDRESS: STREET 16 Col b a CITY CL•4,,LcoJ-1- STATE � k P 58 2 CONTRACTOR PHONE: L I Z 6 ~ C 2.q..1(,2 3 CONTRACTOR EMAIL: 3 • Irl e 1 i VL. e....erM CONTRACTOR LICENSE#(REQUIRED): CC A,l tc-u.,is gZP3 CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): C 7-743 PRIMARY CONTACT ❑OWNER M CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: ,)moo b , .4. 4( CONTACT PHONE: CONTACT EMAIL: BUILDING PERMIT APPLICATION Existing Use of Building: ' Contract Price of Work:$ I I , 1 b'O• *11 Proposed Use of Building: Heat Source: OGas DElectric ❑Other — Building Type: ❑SFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units: ❑Commercial [Industrial Type of Projects—❑New ❑Addition ❑Remodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: g .m3 , tt,tlkestA4 64- L9 )-$4-Ari NA. V-& V-Cpe- ASSOCIATED BUILDING PERMIT#(if applicable): MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION Type of Project: New — Addn Alteration Repair Type of Project: _New Adds Alteration epair Fixtures List of Fixtures Fixtures List of Fixtures #of List of Fixtures #o List of Fixtures Fixtures NC—Air Handling Units Heat Pump Toilet Backflow Preventer(Inside Bldg) Forced Air Systems Unit Heater, Bathtub Urinal Gas Piping Bo'- Lava (Wash Basin) Drinking Fountain Water Heater `efrigeration ower Floor Drain Gas Fireplace Wood Stove Kitchen Sink&Disposal Grease Trap Gas Range Ducting Dishwasher Roof Drains Clothes Dryer H.• ps Other: Clothes Washer Medical Gas Range Hood Water Heater Other: Exhaust -n Sink(Service/Bar/Mop/etc.) Other: SPRINKLER/SUPPRESSION SYSTEM !Chemical or Water ' 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.I am the owner,or I am authorized by the owner of this property to perform the work for which application is made, and!comply with he State Contractors Law 18.27 -CW and •..200A WAC. City of Everett Official Use Only Owner A•thorized Agent Signature Dbte (Revised 9/23/2016)