5116 WOODLAWN AVE 2018-06-27 - Laserfiche WebLink

01/24/2018 WED 13: 41 FAX Fast water Heater 14002/006 qoci (4q9- PERMIT APPLICATION er,,,o.,.. ,- BUILDING/MECHANICAL/PLUMBING/SIGN/SPRINKLER!DEMOLITION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET,EVERETT,WA 98201 (P)425-287-8810 I FAX 425-2574867 I(E)everettepsweverretlwe•gov I www.evereftwe-gov/permits • (Blue or Black ink Only Please) PROJECT SITE INFORMATION f� � /� PROJECT SITE ADDRESS: Y)I ^�DOW-A M° I r -F ,PROPERTY TAX 1�: Op 110 -°I ( i}U,Dabo LEGAL for naw construction: Short Piet/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: /oil-( L, , TENANT NAME(If Commercial): OWNER MAILING ADDRESS; smear , , OP it , 1 41 rr'A, CITY I ' lo STATE , ZIP OWNER O OWNER PHONE: 95c9(p r)g f LIOWNER EMAIL: CONTRACTOR NAME: fpr ST vi A 1� k-t-e_(kT_e_ CONTRACTOR ADDRESS; STREET \V-4.11 S N rex_ PY-►..4\-t $ CA 17(/0 own` rr V)O 1 T { Il(,+� - eTAre A,G A- gm il �/{� 1 L7 D i 1 CONTRACTOR PHONE: (-0 5 1 , (lICONTRACTOR EMAIL: ' VII 4-c S r i u - . WI 3reir, Ail CONTRACTOR LICENSE#(REQUIRED): S1W/0�'�l''n 3(... ciTY Ol=EVEREUT BUSINESS LICENSE#(REQUIRED) 15 3 s. . PRIMARY CONTACT: D OWNER CONTRACTOR In OTHER(Please Specify) . . - CONTACT NAMVME: �f /� CONTACT PHONE: ' � -9-1)81-1I D'' 1�r' - 73 Vs.V, � CONTACT EMAIL: ?..exvI!),•I-%S lr" - i fii(�/� -r` +' . BUILDING PERMIT APPLICATION 1— IL -� -EXIstIng Use of Building; �T Contract Price of Work:S, ��7 Proposed Use of Building: Fg. Heat Source: $ Gee ❑Electric Cl Other —- Buliding Type: CiSFR-Detached OSFR Attached ©Duplex DMuItt-Family-#of Unita: ❑Commercial 0 Industrial Type of Project: 0New OAddltion ORernodel IA Repair OT.I,•- OSign ❑Sprinkler ©Demolition ❑Change of Use DESCRIPTION OF WORK: inn p\' / Ire,p\�Ge CPr-,S oL - V\c cd- ASSOCIATED BUILDING PERMIT*Of applicable): ._ . MVIECHANiICAL PERMIT APPLICATION ..' PLUMBING PERMIT APPLICATION type of Project: _New_ Addn _Alteration _Repair Type of Project _New Addn Alteration Repair #of List of Fixtures #of List of tures* #of - fixtures #of FG: L at of Fixtures Fixtures Fixtures Fixtures Fixtures • A/C-Air Handling Units Heat Pump Toil-t Backflo reventer(Inside BldJ) . Forced Air Systems -Unit Heater • Ba tub Urinal ` DGas Piping Boiler ' La story(Wash Basin) Drl ng Foun_t_ain Water Heater _ Refrigeration Sh war F or Drain Gas Fireplace Wood Stove Klt en Sink&Disposal _ Grease Trap Gas Ranpe Ducting 'Die asher of Dralne Clothes Dryer Hookups Other: _ Cloth s Washer_ Me I Gaa Range Hood Water ater Other: Exhaust Fen - SinkISery _ etc.) Other: ._ . _- - SPRIN. _-_ - ESSIO. - ' _M • arnica!or W-,_ • •.,of Heads - ACKNOWLEDGEMfiINT.'l have reviewed this eppffcation end confirm the Information contained herein Is Into and correct.Work done pursuant to this permit must comply with current federal,state,.end focal law.The granting of a permit only authorizes approved work and no deviations therefrom.Deviations must first De authorised in writing from the Building Qfc/a(before being authorized under any ciroumatence lam the owner,art em authorized by the owner of this property to perform the work for which application is made, and/comply with the Stets Contractors low 18,27 RCW end 29&200A WAG _ Oily of Everett(Mae,Use Only A' LA „►!! -,2-t —t $ PEI� 13 Iy� \%N\ -.c'( Own' •What ze.Ag,rut Signature Date (Revlaeef W23/2048) ' r.