Laserfiche WebLink
09/18/2017 MON 15: 44 FAX Fa ter Heater Q008/009 <br /> lb55I <br /> PERMIT APPLICATION <br /> BUILDING I MECHANICAL I PLUMBING I SiGN I SPRINKLER I DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> ' 3200 CEDAR STREET,EVERETT,WA 98201 <br /> (P)425-257-B810 I FAX 425457-8857 1(E)everatteps(( evereltwa.gov I www,evenettwa.goV/permits <br /> (Blue or 131ack Ink Onl Please PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS: ( I M PDS ST PROPERTY TAX#: 4 b t13g �5 l'4. '00 4( <br /> LEGAL for new construction: Short PleVeubdIvIelon Lot No.__ (attach aopy of long legal description) <br /> � <br /> Y�/► CONTACT INFORMATION u 4 <br /> OWNER NAME: v '�+% <br /> yr ANJ__ I �^TENANT NAME Of Commercial): - <br /> OWNER MAILING ADDRESS: eTRaer �-L•j MAP 1.•E S r Q <br /> -- -- cnY v ?TATE (A)74)- z1t; "' 8 DJ <br /> OWNER PHONE: ���p�5?-09g - (OWNER EMAiL: •— <br /> CONTRACTOR NAME: fA ST v1/41 Al ' \-k - 'i k. <br /> CONTRACTOR ADDRESS; STREET' �� 1 ',Q,,- P .{ $ ,p <br /> CRY -6J V 'kI/if-L STATE LA j Ilk zip q ''D I <br /> CONTRACTOR PHONE: —E5 "l,p ICONTRACTOR EMAiL:P le..M a S 0•-101-vJOr\M ffr• (; . <br /> CONTRACTORLIICENSE#(REQUIRED):'�Arj• \''t GI D • e_,� CITY OF EVERETT BUSINESS LICENSE#(REQUIREDi5(D(453 <br /> PRIMARY CONTACT: 0 OWNER (CONTRACTOR 0 OTHER(Please Specify) - <br /> CONTACT NAME: /� CONTACT PHONE: Lf (2� <br /> Kr4 '- U. (CONTACT EMAIL: Q-ei+irt/Ki -S ,�K+-'rl 6 3`b'v`T 4 , Gov/) <br /> - <br /> BUILDING PERMIT APPLICATION r <br /> Existfn, Use of Bulldin!: 5 Contract Price of Work; - <br /> Pro.owl Use of Bonding: Heat Source: micas DElectric DOther _ <br /> Building Type: Ar FR-Detached ❑SFR-Attached DDuplex dMultt-Famlly4 of Units: ©Commercial flinduetrlal <br /> Type of Project: ONew ©Addition DRemodel OfffRepeir CIT.(, IJSIgn OSprInkier ODemolttion OChange of Use <br /> DESCRIPTiiON OF WORK: <br /> \A() b\IC / $(e0A.c.e. GA-3 uo Okkelr \A C ater' . <br /> ASSOCIATED BUILDING PERMIT# Ifs••licable: <br /> MBCHANNCpL.PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type or Pt jeoe Naw Addn ___Altoratlon Repair a of Project: ew _ tddn Aiteration Nepal <br /> #of List'of Fixtures #it List of Fixture? f Fixtures 1.1st of Fixtures Fixtures List of F • mea <br /> Fixtures F/xturea <br /> A/C,AIrHandltnQUnits Hest Pump rTciletBaokflowFrev; =r(Inside Skip !f <br /> Forced Air Systems _Unit Heater Bathtub Urinal <br /> /'�\ Gas Piping- - Boiler Lavatory(Wash Basin) a Nnking F.untain <br /> ' ' Wafer Heater Refrigeration Shower - :.r b -In <br /> u Gas Fireplace Wood Stove _ Itchen Sink&Dis,osal t re„ Tra. <br /> oae Range Ducting 0 ; -,of Dra _ <br /> Clothes Dryer Hookups Other C , _- - edical Gas <br /> Ranon Hood Wei- Heater • <br /> Other: <br /> Exhaust Fen Sink(-' Ice/Bar/Mop/etc) Other: <br /> SPRIN E88IO $TEM -- • <br /> erniael or W Ie.of Heads1� <br /> ACKNOWl.ED©EMMNT:l have reviewed this epplloetron and confirm(he Intimation contained herein Is true and correct.Wont dons pursuant to this permit must comply with <br /> current federal,stater end local law.The granting of a permit only authorizes approved work and no deviations therefrom.Devlarlons must first be autfar(zed In writing from the <br /> Building Official be(oie being authorized underany circumstance.1 am the owner;or!em authorized by the owner of this property to perform the work for which app/cellon is made, <br /> and!comply with the State Contractors Law 18.27 ROW and 2852004 WAG <br /> - <br /> Cl(yof.venett Off+cla/Use Only <br /> LiWi PERMIT# <br /> 9- IF/ 1- I id --- a <br /> Own uthor ze Ag Signature Date (Revised 9/23/209: <br />