6431 CYPRESS ST 2018-07-24 - Laserfiche WebLink

PERMIT APPLICATIOI` - BUILDING/ MECHANICAL/ PLUMBING /SIGN /SPRINKLER/ DEMOLITION CITY OF EVERETT PERMIT SERVICES Nil it - 3200 CEDAR STREET,EVERETT,WA 98201 (P)425-257-8810 I FAX 425-257-8857 I(E)everetteps@everettwa.gov I www.everettwa.gov/permits (B[oe or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: ( L%31 Ckpyert_s45 5A•- PROPERTY TAX#: 00---- q 31-1 nc,„,, , 0 LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: D(Awe e. Fr..`” - \r,,,,,,n TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET (9 Lt2)k f.ter,rt�y ..54'CITY .Le. Jr ��'' STATE udipt^ ZIP cp3aC'� OWNER PHONE: L-1 •S--ab ).- 0444(.t --- OWNER EMAIL: (thCv&st".,`.,n cowl co/LS-. ne ss CONTRACTOR NAME: C_*cky w., Jo 'Z -, CONTRACTOR ADDRESS: STREET 9.‘1.4 a'e ( n,W ,q.,,.P e, CITY lINTL,C1 STATE ✓r ZIP 2tp's(Q CONTRACTOR PHONE: ‘-v.- .6-Lt.*p- t4t.Cll CONTRACTOR EMAIL: \,ice. a u4.....,6\oNA ,in,r. CONTRACTOR LICENSE#(REQUIRED): CITY OF EVERETT BUSINESS LICENSE#(REQUIRED):03 t Met PRIMARY CONTACT: 0 OWNER A(CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: LA TeAy\kt^ CONTACT PHONE: aoc„ -4?-0( • 770 Z- Gc. n f . CONTACT EMAIL: 11'$ ._ CACP . 6501 BUILDING PERMIT APPLICATION Existing Use of Building: ‘Lef6j`aer\-}-‘0,' (.56e 9Contract Price of Work:$ 5�)000 Proposed Use of Building: �e,,A,e�Alq.\ CSAt Heat Source: ❑Gas ❑Electric ❑Other Building Type: CPFR-Detached ❑SFR-Attached ODuplex ❑Multi-Family-#of Units: ❑Commercial ❑Industrial Type of Project: ❑New 9iAdditiontemodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: 64-04‘e%14 :w: 3y 2 .s 'o u,: \Ci. GLC ..I A-i`O- - p G t va/G Ramon 410A/: 2?6 S.K ReAASSOCIATED BUILDING PERMIT#(if applicable): 400Q�b� 37i .C4 MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION Type of Project: _New _ Addn _Alteration _Repair Type of Project: _New _Addn _Alteration _Repair #of #of List of Fixtures List of Fixtures #°f List of Fixtures #of List of Fixtures Fixtures Fixtures Fixtures Fixtures NC—Air Handling Units Heat Pump Toilet Backflow Preventer(Inside Bldg) Forced Air Systems Unit Heater u Urinal \ Gas Piping Boiler Lavatory(Wash Basin) Drinking Fountain \ Water Heater Refrigeration a. Shower Floor Drain Gas Fireplace Wood Stove Kitchen Sink&Disposal Grease Trap Gas Range Ducting \ Dishwasher Roof Drains Clothes Dryer Hookups Other: A Clothes Washer Medical Gas Range Hoodilfetery1tater Other: „L..? 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 I am 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 PERMIT#0j li, (e0Ic;i) -. (4)(0n O er/A orized Age t Signature Date (Revised 5/20/2016)