1928 VIRGINIA AVE 2018-06-27 - Laserfiche WebLink

P IT eiPP,/,.—g, BUILDING ) MECHANICALS PMLUMBING I SIGN 1 SPRINKLER I DEMOLITION CITY OF.EVERETT PERMIT SERVICES -iiM3200 CEDAR STREET,EVERETT,WA 98201 (P)425-257-8810 I FAX 425-257-8857 I(E)everetteps@everettwa.gov l www.everettwa.gov/permits (Blue or Black Ink OnlyPlease) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: /et 7t i//V I Li 10* CV`t PROPERTY TAX#: LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: /1144014,47 Ca Hy 1e41 TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET /'d• 13uX a.71-8 Aq cnYQ rj(/G NCtfe- . STATE ',-A� ZIP /(/?O ' OWNER PHONE: 606) R/3 • // iffu OWNER EMAIL: see_ 17- a /deka,cowl CONTRACTOR NAME: f;14114,41 117 (Gavtryt S CONTRACTOR ADDRESS: STREET 10, 8o)( (Z 7-?-0 fel CITY ir�/Y/�(/i( STATE AO ZIP f 2 00 CONTRACTOR PHONE: 2011 303 /7+g 06 CONTRACTOR EMAIL: sec_ 27-f� (t4icol•col, CONTRACTOR LICENSE#(REQUIRED): CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): PRIMARY CONTACT: ®OWNER 0 CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: 7 fH,t, c, a py 4c-0 CONTACT PHONE: / CONTACT EMAIL: BUILDING PERMIT APPLICATIO Existing Use of Building: Rtl i -74w1 Contract Price ork:$ \7660 Proposed Use of Building: £es 1014„ r'/ Heat Source: ❑Gas ®Electric ❑Other Building Type: ❑SFR-Detached ®SFR-Attached ❑Duplex ❑Multi-Family-#of Un . �mer`ciaal 0 Industrial Type of Project: ❑New ❑Addition ®Remodel El Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: aoM naw aIa.%"c 4vcw{ atr. fu.✓AOlt ASSOCIATED BUILDING PERMIT#(if applicable): MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION Type of Project: _New DC Addn _Alteration _Repair Type of Project: _New X Addn XAlteration X 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 2 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 I Kitchen Sink&Disposal Grease Trap Gas Range Ducting Dishwasher Roof Drains Clothes Dryer Hookups Other: Clothes Washer Medical Gas Range Hood Water Heater Other: 3 Exhaust Fan Sink(Service/Bar/Mop/etc.) Other: SPRINKLER/SUPPRESSION SYSTEM Chemical or Water I No.of Heads ACKNOWLEDGEMFtNT::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,k 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 befole being authorized under any circumstance.lam the owner,or 1 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 a \ 741/o- P R T�# 9 oc l Owner/Authorized Agent Signature Date (Revi seer9/23/2016)