2818 GRAND AVE 2018-09-11 - Laserfiche WebLink

PERMIT APPLICATION /111114/41,;—'—.A BUILDIN—CHANICAL/ PLUMBING /SIGN 1I IrIRINKLER/ DEMOLITION CITY OF EVERETT PERMIT SERVIGt,! 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 '1 0 *44, '-'_ . ';',..,,,,;7, :rh, PROJECT SITE ADDRESS: a g 1 c"tAJ Lye , PROPERTY TAX#: LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) f: CONTACT INFORMATION'; ' ` x„, OWNER NAME: Nati,--V>- p C s(To v A�k TENANT NAME it ):fvt.e,lkAA Sc*kz - 144,14 OWNER MAILING ADDRESS: gE4rdj 01r-( . k ..0 W .cl,l, ``\ 7 P .\\-%Q.f� CITY ^ W /So * c1 STATE /� `'ZIP 1$ 2�C OWNER PHONE: li diJ^5'3t)�- 1 5 J V OWNER EMAIL: R i"\. S A LZ..o (�” . k 17 -,Katt co(,h CONTRACTOR NAME: 1,615C ra+i. 1- G—C. �� CONTRACTOR ADDRESS: STREET 60w-1T3 e,,1 L vix, CITY 4 e Y i ff S STATE \ A ZIP g pa I CONTRACTOR PHONE: 9 a s- isI``a�°` cls CONTRACTOR EMAIL: (ntfa('_y fieitOS e FG 0 p,, C,01,11 CONTRACTOR LICENSE#(REQUIRED): t0 0 a-.5 10 - [) t CITY OF EVERETT BUSINESS LICENSE#(REQUIRED):6551 12. PRIMARY CONTACT: 0 OWNER 0 CONTRACTOR M OTHER(Please Specify) (- M 0 — v 2. VS‘WOU4t142(-00-01 CONTACT NAME: Z a- �"N lce"/'6 C.Ovt,StlAta CONTACT PHONE: Li 2,5 % 0 -- 0I. c.5 p67,v\e4 b+14 CONTACT EMAIL: Otct-U4 A , aciolksufir( � i ,covi , BUILDING PERMIT APPLICATION `' ,;fly;:, Existing Use of Building: fil,'tx ' Us0 Contract Price of Work:$111 Ll O I moo.o/9 Proposed Use of Building: rikt i.061 lig 42 Heat Source: ❑Gas ®Electric ❑Other Building Type: ❑SFR-Detached ❑SFR-Attached ❑Duplex i'�Multi-Family-#of Units: ❑Commercial 0 Industrial Type of Project: CI New DAddition ❑Remodel Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: efau t- +it .1`dt..°"t "t" 1f.06-`e01+ -WS 65 &aca,k 13 t_in 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 List of Fixtures #of List of Fixtures #of List of Fixtures Fixtures Fixtures Fixtures Fixtures A/C—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 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 Contract rs Law 18.27 RCW and 296.200A WAC. City of Everett Official Use Only :...APERMIT# b(6;457 Owner/Authorized Agent Signet Date (Revised 5/20/2016)