2511 VIRGINIA AVE 2018-06-27 - Laserfiche WebLink

PERMIT APPLICATION BUILDING / MECHANICAL/ PLUMBING I SIGN /SPRINKLER/ DEMOLITION CITY OF EVERETT PERMIT SERVICES ti�� 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 (Blue or Black InkOnly Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: 2 5-1. V j r5tn%a nve PROPERTY TAX#: 0 Q V..?7857000. Oc LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: LU Ice - 3-04 nag P oiYiermy'tJ► TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET 2 V/ V i/'j0 /, I a 4 ye (� CITY Ey ere0 STATE VV }4- zip ?:692 667/ OWNER PHONE: 1g-101-72'1Y OWNER EMAIL: (,)ked otneriv,L-E-1 0 4/nail CONTRACTOR NAME: Game t S Owner CONTRACTOR ADDRESS: STREET CITY STATE ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: CONTRACTOR LICENSE#(REQUIRED): CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): PRIMARY CONTACT: OWNER 0 CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: CONTACT EMAIL: BUILDING PERMIT APPLICATION Existing Use of Building: K p/e)c—OWriCr 0C cy p;eS iio 4 coilcContract Price of Work:$ © coo Proposed Use of Building: 5 FR Heat Source: Gas ❑Electric ❑Other Building Type: ❑SFR-Detached ❑SFR-Attached NIDuplex ❑Multi-Family-#of Units: ❑Commercial ❑Industrial Type of Project: ❑New ❑Addition ❑Remodel ❑Repair CIT.!. El Sign ❑Sprinkler El Demolition ❑Change of Use DESCRIPTION OF WORK: j Q Conver-& exis--e i`9 °� i Alex to SFR . Co n ��a Cf$/ c,e trio ar) ties. - rd`„in p.� (oltiC,"' -f(,or to, /-e' iake a el r4 a�c�✓op�'� cid' -tie 5 are 1.711 9t�a t w o�fc rs a/,nose cone, This ;s -f� �e c, f/ u,s jai.s c/angel, ASSOCIATED BULDING PERMIT#(if applicable). 15 -6-4 e perch f`-t n,en fr e i 4,3f-6160c-02o MECHANICAL PERMIT APPLICATION ` PLUMBING PERMIT APPLICATION Type of Project: _New _ Addn X Alteration _Repair Type of Project: _New _Addn X 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(Inside Bldg) Forced Air Systems Unit Heater Bathtub Urinal Gas Piping Boiler cir2 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 491- Clothes Dryer Hookups Other: 1 Clothes Washer Medical Gas Range Hood Water Heater Other: Exhaust Fan 4.. Sink(Service/Bar/Mop/etc.) Other: SPRINKLER/SUPPRESSION 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 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 7////j6 PERMIT#n O �^ O X 9 9 Owner/Authorized Agent Signature Date (Revised 5/20/2016) Jv)