3010 EVERETT AVE 2018-09-07 - Laserfiche WebLink

PERMIT APPLICATION BUILDING I MECHANICAL 1 PLUMBING I SIGN/SPRINKLER/DEMOLITION CITY OF EVERETT PERMIT SERVICES grr 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 (Blue or Black Ink Only Please) PROJECT SITE INFORMATION / 1�3 PROJECT SITE ADDRESS: ,3 3 to E j rt-•F VQ PROPERTY TAX#: a()S 93 Co(P J©G0 6 oo LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) Sec- on f t A i( CONTACT INFORMATION OWNER NAME: J1 etl(fit- ?t`O P er*i e S TENANT NAME(If Commercial): 5F}n,.(- OWNER MAILING ADDRESS: STREET ,521-1 NtAi'b etie t & p CITY .E(fe.Jf.•� /'f STATE WZIP $ 2O3 OWNER PHONE: '(2S" 87° - 72c( 7 OWNER EMAIL: SP() 1 E com CA ST- CONTRACTOR T-CONTRACTOR NAME: GU v`QJ` • CONTRACTOR ADDRESS: STREET CITY STATE ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: CONTRACTOR LICENSE#(REQUIRED): CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): PRIMARY CONTACT: Ot OWNER 0 CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: 1 CONTACT PHONE: Lf z5- 870- 72f 7 I^e,(•) ectc, CONTACT EMAIL: Siam,—pro Pe4"4.4a5 v� C� 7- NC r- BUILDING PERMIT APPLICATION r� Existing Use of Building: tom.:�Ccc:E U St Contract Price of Work:$ 2(6-O O-c Proposed Use of Building: Heat Source: ❑Gas ❑Electri ❑Other Building Type: ❑SFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units: I Commercial ❑Industrial Type of Project: ONew ❑Addition ❑Remodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler gDemolition ❑Change of Use DESCRIPTION OF WORK: �p Ce.A.ptovt, -I-Lt rornloelkr;f.5 Qart-itLvn L4Pt S -i-L Tr art_ a teat into tltie Con[r2fe W i+L • ctu#e-`1 Co&crt"-Fe- ( lS Otic( tot)i tf uP {-O I-Le_ ori Leer rocKed Ce;/,-.5 Ow- +Le- cows ere- Cc.nlovect n11.:1 koteS ;>ti -t-Le- Ce-it; SkeeTroctc mitt be rI tied Ca;14., ASSOCIATED BUILDING PERMIT#(if applicable):17i-�(WA-II �oiwT CoA Pou,.S c.c( h�a Ii is '" -R CCM- (,),^1l b y 1-ed 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 List of Fixtures #of 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 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 Chemical or Water I 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 authori - ppreveTwork and no deviations therefrom.Deviations must first be authorized in writing from the Building Official before being authorized unde - y circumst-•--. 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 Contrac• - aw 18. '"r and 296.200A WAC. // City of Everett Official Use Only /� PERMIT M69-,5D 4 Owner/A.' orized Agent Signature Date (Revised 9/23/2016)