6301 ELLIOTT WAY 2018-09-07 - Laserfiche WebLink

PERMIT APPLICATION AIP'x � BUILDING I MECHANICAL/ PLUMBING I SiGN/SPRINKLER 1 DEMOLITION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET,EVERETT,WA 98201 (1')425-257-8810 1 FAX 425-257-8857 1(E)everetteps@everettwa.gov I www.everettwa.gov/permits _...»_,d5,` , ._,gtaa..: P.ROURCTSiTE:INFORMATION .. .. rt.a.y .w..._. .- PROJECT SITE ADDRESS: 30/�J//Q/ i /„I, PROPERTY TAX#: LEGAL for new construction: Short Plat/subdivision V 66" 3 7 0 6 9 V ✓j Lot No. �'(attttach copy of long legal description) n _ eddri TACT INFORMATION, ..O:. MEN: ,O,.ESI .. `.:.. .. OWNER NAME. y i)f voJ� TENANT NAME(if Commercial): OWNER MAILING ADDRESS:I STREET ` 60)) F1 em ii'i S'6 CITY sEV>re/ Wil A ZIP 9S203 OWNER PHONE: 206- 661- 22/6 OWNER EMAIL: CONTRACTOR NAME: ,&3jV) W-ea)711 &( JT/(�/ 1-1--C CONTRACTOR ADDRESS: STREET I1&2T 1-,5 7 WI i4.- Av coy ilik /5I' l/e STATE W� /�'� ZIP '82 -1 //ZS- f3 CONTRACTOR PHONE: ` ( '�_/Z CONTRACTOR EMAIL: ben/GLC c 0 h4 - -"war, °; CONTRACTOR LiCENSE#(REQUIRED): it EN RE)1 C 8 TS 2) CITY OF EVERETT BUSINESS LICENSE#(-.6U1k2nis 4% t ......-' PRIMARY CONTACT: ❑OWNER r CONTRACTOR 0 OTHER(Please Specify) 2/� CONTACT NAME: CONTACT PHONE: -/25 33 Q p /9Z. Veil/� n Pere/co; iesIJy CONTACT EMAIL: ben h tzCa e �3 / hl a.;/C,014.-7 SIDEtw,,.x:~ .._._.:.; '^ 7 .,, .. B___,UIL D,ING3PERMIT APPLIC,ATIO_N.._, .o'`..:�.�t .. .._ -,,...' _ ;, �*, EIS Existing Use of Building: Contract Price of rk:$ 12-r ZOO Proposed Use of Building: Heat Source: I 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 ❑De olition ❑Change/o'f Use DESCRIPTION OF WORK: »5.��i/ at CPC Tl�o SVA c'^�--CY5-11-P-44,13 Gt1/ !� � n,, Gt/ ( as tQ=!/ 6wil ..S'. / /esf wG tLief (I/mss/��S r!�� b ASSOCIATED BUILDING PERMIT#(if applicable): s iDip;/1,9 40 IWO it) aaf 42aler' -e-21/ei� `'r MECHANICAL;PERM1T,.,A UCATION a .,t,;°_ ,_t .5...;,:;.;PLUMBING PERMIT,sAPPL1C;A'I IONMIEN"'-' 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 2 A/C—Air Handling Units Heat Pump Toilet Backflow Preventer(Inside Bldg) 2 Forced Air Systems Unit Heater Bathtub Urinal 3 Gas Piping Boiler Lavatory(Wash Basin) Drinking Fountain 1 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 1 Range Hood Water Heater Other: Exhaust Fan Sink(Service/Bar/Mop/etc.) Other: atatIOS 01.it/SUPPRESS ON$.1§1 6• 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 I am authorized by the owner of this properly to perform the work for which application is made, and i comply with the State Co tracto aw 18.27 RCW and 296.200A WAC. City of Everett Official Use Only t 7--r ll- 2/- 22,9 PEI( #��-C ( 4" Ota 3 Owner/Authorized Age t Signature Date (Revised 10/12/2015) 4