1609 WALNUT ST 2018-07-19 - Laserfiche WebLink

grrPERMIT APPLICATION BUILDINr ECHANICAL/ PLUMBING /SIGIrRINKLER/ DEMOLITION CITY OF EVERETT PERMIT SERVI 3200 CEDAR STREET, EVERETT,WA 98201 (P)425-257-8810 I FAX 425-257-8857 I(E)everetteps@everettwa.gov www.everettwa.gov/permits PROJECT SITE INFORMATION, _ Pgh©fSITpestAlrRIESyS: b„, li/AI �e / PROPERTY TAX#: LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) ;CONTACTINFORMATION, OWNER NAME:/1/4,1A —red 4p7 ole TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET CITY STATE ZIP OWNER PHONE: 2o61-6290-0116-7 OWNER EMAIL: CONTRACTOR NAME: ,4/68 6' ,q i 1117 CONTRACTOR ADDRESS: STREET /I! / $` PZ jt' CITY yLt&/4 0 STATE / ZIP ief/p�c CONTRACTOR PHONE: •Zt26-f '3— 6'' ,72 �^ CONTRACTOR EMAIL: Gi /I/6,B�pa 7`>f. Co t CONTRACTOR LICENSE#(REQUIRED):/�/`jbg®gop p 1/"1 7 CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): U�C✓gg, PRIMARY CONTACT: 0 OWNER ErCONTRACTOR 0 OTHER(Please Specify) CONTACT NAME:/vI`�� ®S/UI -b CONTACT PHONE: CONTACT EMAIL: BUILDING1 ERMIT APPLICATION ` ' ' Existing Use of Building: Contract Price of Work:$ 156 .c3 Proposed Use of Building: Heat Source: ❑Gas ❑Electric ❑Other Building Type: ❑SFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family #of Units: ❑Commercial ❑Industrial Type of Project: CI New DAddition ❑Remodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: /6w ��Q j-k, S.L_ ff y Y Ura „f - p&r. rYrocii5 firrn)(2fr ASSOCIATED BUILDING PERMIT#(if appli a� ble): MECHANICAL PERMIT'APPLICATION ' 'OLUMBING 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!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 lam 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 PETT C// Owner/Authorized Agent Signature Date (Revised 10/12/2015)