1933 HOWARD AVE A 2018-07-18 - Laserfiche WebLink

i PERMIT APPLICATION BUILDING I MECHANICAL/ PLUMBING/SIGN/SPRINKLER I DEMOLITION � CITY OF EVERETT PERMIT SERVICES I' f 3200 CEDAR STREET,EVERETT,WA 98201 (P)425-257-8810 I FAX 425-257-8857 1(E)everetteps(geverettwa.gov I www_everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT iSITE INFORMATION PROJECT SITE ADDRESS:I t33 )10<.$30...r& Ave. Otn 17' A PROPERTY TAX#: Q04(4 3 coo 00)00 LEGAL for new construction: Short Plat/subdivision Lot No. I (attach copy of long legal description) p CONTACT INFORMATION OWNER NAME: A lex 0"ar' ILIA 1 r ez Gaal, TENANT NAME(If Commercial): OWNER MAILING ADDRESS: srREET 1133 Flo W a & A ye. V h;4 A ern, k v VeM STATE ZIP i g tZ,0 3 OWNER PHONE:14 "4t�-3 o1q I .2.53-21'ii`Dg3yZ OWNER EMAIL: CONTRACTOR NAME: A1exo•nkro, ccIm;rez Garcia 0(.0 � CONTRACTOR ADDRESS: STREET Ft 33 )-low oda.. c ve., • r 1 T h CnY E v t"4� STATE 4 ZIP i?)-03 CONTRACTOR PHONE:42 -lila-329 I/233 Ji S-%37.CONTRACTOR EMAIL: CONTRACTOR LICENSE#(REQUIRED): CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): PRIMARY CONTACT: O OWNER O CONTRACTOR 0 OTHER(Please Specify) AUsbwtd CONTACT NAME:Lc CONTACT PHONE: i�.l 3-AI•g` -g g 7 � , r4 W Mw^-iT1 a CONTACT EMAIL: /3A i"1rt( 11.,lJe__,. 1"/p .ci(/V__./ BUILDING PERMIT APPLICATION Existing Use of Building: J� UpLQ,... . Contract Price of Wor . .' 4_ `C C) Proposed Use of Building: if /.1) _ __ Heat Source: ❑Gas Electric ❑Other Building Type: ❑SFR-Detached INSFR-Attached ❑Duplex ❑Multi-Family-#of Units: ❑Commercial ❑Industrial Type of Project: fiNew OAddition ❑Remodel ❑Repair OT.I. OSign OSprinkler ODemolition OChange of Use DESCRIPTION OF WORK:�2 o�Ui1( n� a Un�,pr�r ec� aec w;}), r-o��l►tj ' o�� • n� CorroS o1- Qe�k oa►1 be. bvil�- > �i}h pr essvr2 fre4rc� la re5i g} -v +- l)oo& cons}rvc-i or1 c.ri,lec+or5. ASSOCIATED BUILDING PERMIT#(if applicable): MECHANICAL 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 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 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 Dryer Hookups Other: Clothes Washer Medical Gas Range Hood Water Heater ^Other: Exhaust Fan Sink(Service/Bar/Mop/etc.) Other: SPRINKLER I SUPPRESSION SYSTEM '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.T • ranting of a permit only authorizes approved work and no deviations therefrom.Deviations must first be authorized in writing from the Building Official before.t'ng.b oriz•. nder 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 I comply with the e C. :cto aw 18.27 RCW and 296.200A WAC. II City of Everett Official Use Only I os/i p0I PER k OS' (�'..— 1 Owner/Authori .gent Signature Ddte (Revised 9/23/2016) V