1511 WETMORE AVE 2018-07-26 - Laserfiche WebLink

PERMIT APPLICATION BUILDING / MECHANICAL/ PLUMBING /SIGN /SPRINKLER/ DEMOLITION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET,EVERETT,WA 98201 (P)425-257-8810 I FAX 425-257-8857 1(E)everetteps@everettwa.gov I www.everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: /61/ werg NI,6 ,Q u PROPERTY TAX#:00915,5S/0 C 056 C' LEGAL for new construction: Short Plat/subdivision I/Ltioi'(PrAbb &I<310 Lot No.5 v . (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: 6.g6J I Ey A. 6/44-s- TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET JS'/J 14,Iprim0 Ate AU'E, p CITY EvEyer " STATE /a gA ZIP 9Pq OWNER PHONE: yi�S' �j `j j OWNER EMAIL: L{c?ny;,e!/!n3~ev Ala� ,<p/Y) CONTRACTOR NAME: GEnf gEy / Esv V CONTRACTOR ADDRESS: STREET Js/J W' 7MAVS cm, cUEP4/' STATE (,JA ZIP 25z,�) CONTRACTOR PHONE: 2$-• g -(3cj' 3 CONTRACTOR EMAIL: fJCca; :ey►y),s 63„4,4).,coyi CONTRACTOR LICENSE#(REQUIRED): CITY OF EVERETT✓ BUSINESS LICENSE#(REQUIRED): PRIMARY CONTACT: J)it OWNER`. 0 CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: r,� CONTACT PHONE: !/� , .7 -3 GEorr EAJP.1 CONTACT EMAIL: 5,04-:'t✓IY15-6,5„Ka I_trw\ BUILDING PERMIT APPLICATION Existing Use of Building: Contract Price of Work:$ u i3j g Proposed Use of Building: 6 CJ 0A6E Heat Source: ❑Gas ❑Electric ❑Other Building Type: ❑SFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units: ❑Commercial El Industrial Type of Project: ❑New ❑Addition ❑Remodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: COB A14er A EFIACAe DA'ag-r e..1MM&E (IV 1)(221) OFF OF 41ZEy 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 Lis - Fixtures #of List of Fixtures #of List of Fixtures Fixtures Fixtures Fixtures Fixtures NC—Air Handling Units .-at 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&Disp..'-1 Grease Trap Gas Range cting Dishwasher _ Roof Drains Clothes Dryer Hook-.s they: Clothes Was.<' ` Medical Gas Range Hood Water He.. -r Other: Exhaust Fan Sink(S. vice/Bar/Mop/etc.) Other: SPRINKLER/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. 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 ()) • //7 Own=/"uthorized Agent Signature Da a (Revised 9/23/2016) 1