2018 78TH PL SE 2018-07-20 - Laserfiche WebLink

PERMIT APPLICATIOj BUILDING— ECHANICAL/ PLUMBING /SIGN = =RINKLER/ DEMOLITION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET,EVERETT,WA 98201 4rEir (P)425-257-8810 I FAX 425-257-8857 1(E)everetteps@everettwa.gov I www.everettwa.gov/permits a ' 1 ..., .:. .. .. ..... PROJECT SITE:;INFORMATION.. . . ;, w_. _ ,....,,... „ _. PROJECT SITE ADDRESS: I"p^"ERTY TAX#: z 0i87�`tt� PL .Sf LEGAL for new construction: Short Plat/subdivision/4IInp (4 et 941-5 Lot No wt (attach copy of long legal description) = ,; i CONI,N TACT FORMATION.. OWNER NAME: A t p 1 eve. 1 Q t,,Li-S LL.C TENANT ,NAME(If Commercial): OWNER MAILING ADDRESS: STREET [ 5(d.1 I��t�e J/'" 4 i' (4-)ci/ )r/"`)`y/ cm( E j,)eve ," STATE 1,4)C4 i ZIP q 3d OWNER PHONE tias- q5-3 - o OWNER EMAIL: W.ULL/. �jt`� '"' etolMeS 3, CC)�y) 111 CONTRACTOR NAME: 5 e.. .p ,�,,, 14�sep►.e $ CONTRACTOR ADDRESS: STREET ( (:) ,4,...0 .g V erLll "'kW/W/ M y /�(� crry 'E V-et, STATE LOCI_ ZIP q g -o/ CONTRACTOR PHONE: Li t)-5_q,5 3--9.00° CONTRACTOR EMAIL: %A)C,J( ). 5 d-e s vl e S - CO1M CONTRACTOR LICENSE#(REQUIRED) 76A Q)4P// It 56, e-7 CITY OF EVERETT BUSINESS LICENSE#(REQUIRED) 05 o3 39 PRIMARY CONTACT: 0 OWNER 0 CONTRACTOR PKOTHER(Please Specify) PrO)ed 14/1c..rt ail e CONTACT NAME: 11 CONTACT PHONE: �'�5 a 3 l5 -- l 3 ill 4-if R., q cit._ CONTACT EMAIL: malt it 1r^ ei) s ems,pct 0,-"+G'5 a c04.2 BUILDING PERMIT APPLICATION ``- CONTRACT PRICE OF WORK Existing Use of Building: HEAT SOURCE: Proposed Use of Building: ❑Gas Xlectric ❑Other Building Type: ❑SFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units: ❑Commercial 0 Industrial Type of Project: Alew ❑Addition Cl Remodel ❑Repair 01-.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: AAA-P OPO IS117 MECHANICAL,PERMIT APPLICATION,`„ ;; ;;;;, ; PLUMBING,PERMIT A, PPLICATION , Type of Project: _New Addn _Alteration _Repair Type of Project: _New _Addn _Alteration _Repair #of List of Fixtures #°f List of Fixtures #°f List of Fixtures #°f List of Fixtures Fixtures Fixtures Fixtures Fixtures A/C-Air Handling Units Heat Pump '3 Toilet Backflow Preventer(Inside Bldg) Forced Air Systems Unit Heater ) Bathtub Urinal Gas Piping Boiler '-( Lavatory(Wash Basin) Drinking Fountain i Water Heater Refrigeration I Shower Floor Drain Gas Fireplace Wood Stove I Kitchen Sink&Disposal Grease Trap Gas Range Ducting I Dishwasher Roof Drains F Clothes Dryer Hookups Other: I 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.lam the owner,or lam authorized by the owner of this property to perform the work for which application is d - , .:and 1 comply with the State Contractors Law 18.27 RCW and 296.200A WAC. \7/ City of Everett Official Use Only -L PERMIT# —/ — / Co C 1ciI-oo4- Owner/Authorized Aaent Sia nature Date (Revised 10/12/2015)