2105 GRAND AVE 2018-09-11 - Laserfiche WebLink

PERMIT APPLICATION '1111P/00441:F:a 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 1 www.everettwa.gov/permits (Blue orBlack Ink Only Please) PROJECT SITE-INFORMATION PROJECT SITE ADDRESS: 2(45 G ePr of A VF PROPERTY TAX#:( 113N'(3,2oO20O LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: E vE a.< (LFe J 44,51v1 ES LL-C TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET o 5-2 6k' CITY IS t`=LC FV V E STATE \/W fj— ZIP g 801 OWNER PHONE: 21`l 2 2- 3 (2)S 3 C OWNER EMAIL: 30~< VA(-E/✓7 / 4 / L..CO/`'/ CONTRACTOR NAME: P A(JL 1)A V IS R C-sTo t2/ T)oiv of fVeS7' 4 /ivy 0040 T y CONTRACTOR ADDRESS: STREET /5-00y 3S 7/1 AVE VV S c- 7F A CIN L}//ISN pro-6D STATE VSA ZIP `GS O s CONTRACTOR PHONE: 2 0 6 36 4_200 0 CONTRACTOR EMAIL: W41 W k@ RD — U S A e c ear CONTRACTOR LICENSE#(REQUIRED): PAUL DIA 9 5-1-f ig 4 CITY OF EVERETT BUSINESS LICENSE#(REQUIRED)' 0115-8 PRIMARY CONTACT: I> "OWNER 0 CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 2 t y 2 2 g a_c3 6 //An/ VA-L E/Yu iv- CONTACT EMAIL: aybefli, (/, L F/v77A1 6/1 4 . CON'/ BUILDING PERMIT APPLICATION Existing Use of Building: m il;' Contract Price of Work:$ 40, COO Proposed Use of Building: .s "e Heat Source: lB(Gas El Electric ❑Other Building Type: 6dSFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units: ❑Commercial ❑Industrial Type of Project: ONew IaAddition ❑Remodel ❑Repair ❑T.I. OSign OSprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: A-DDIT)ON o P MA-4 7 tite J3Eigeat3h oN $eCEW s7-0le F�Re/fitsS 9roPeiely /9-`1` At c.7/O0v #4,2=57- &A-71.-/4,‘ TT 1 rThJ ‘0,1-06-4"-4-0. N/E 426- Nc w F/L/ir4 ro c v PL T 7/,'6 /9-OD/77div P cope- Ce--404-01I Q ASSOCIATED BUILDING PERMIT#(if applicable): tSz /97 rA-C y4//VZ' '/NS . ' pert/kJ) MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION Type of Project: _New Addn _Alteration [Repair Type of Project: _New _Addn Alteration ZRepair #of List of Fixtures #of List of Fixtures #of List of Fixtures #of Last 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 Other: Exhaust Fan Sink(Service/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.lam the owner,or/am authorized by the owner of this property to perform the work for which application is made, and/comply with the State Contractors Law 18.27 RCW and 296.200A WAC. City of Everett Official Use Only _ s PERMIT# 1/13-5-' DW /'` Owner/Au .rize• Ag: f•7ture sate (Revised 9/23/2016)