1303 W MUKILTEO BLVD 2018-12-21 - Laserfiche WebLink

PERMIT APPLICATION BUILDING/MECHANICAL/PLUMBING/SIGN/SPRINKLER/DEMOLITION /111P/06,/;--- *W1 CITY OF EVERETT PERMIT SERVICES 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� PROJECT SITE ADDRESS: 13013 tJ Mt9k(1Tl_t � yi11el Eve/vat-962n PROPERTY TAX#: LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: 1-61, 44- CUA icne, TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET 503 1X.9 HU si-kw ` ivd. CITY eVe 1e.-1-►- STATE WEN ZIP '9)zcr OWNER PHONE: ()L?)C)1 2.^ `126 OWNER EMAIL: CONTRACTOR NAME: I l-tt IP-( C K IL,.01-ye;ANS J,,)C1 - CONTRACTOR ADDRESS: STREETc 5(.00\ f1C13w' i\-\E CITY \/1r Yy- STATE ki..515 ZIP 9 CONTRACTOR PHONE2Q11))12`- -3cio CONTRACTOR EMAIL: AA\GHNesT-K-P ,ec, VY1?i(.czyy1 CONTRACTOR LICENSE#(REQUIRED): CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): PRIMARY CONTACT: 0 OWNER CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: (2..0(p) i 24-3ai Oj 1140V\ rs.2i) n . CONTACT EMAIL: 1G�4,.t e ,e BUILDING PERMIT APPLIcATION , Existing Use of Building: Ke,‘dearlu, Contract Price of Work:$ 1F1OO_, Proposed Use of Building: ks.,,rr,C7rlC4_, Heat Source: XGas ❑Electric ❑Other Building Type:,SFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units: ❑Commercial ❑Industrial Type of Project: ONew ❑Addition X2emodel ❑Repair ❑T.I. ❑Sign OSprinkler ❑Demolition OChange of Use DESCRIPTION OF WORK: Vk'cilrn o Zr\e,&,. ,5i.+o.s ,fi>c\h41 o• kv1AN\en Su^ic 2 " 1 ne-3 shcux.✓d , amt new sni ✓V2AVej.Mdvu..1 5°GOku 1 A:3, r-Nastci b-2,ANN ASSOCIATED BUILDING PERMIT#(if applicable): MECHANICAL PERMIT`APPLICATIION PLUMBING PERMIT APPLICATION Type of Project: _New _ Addn _Alteration _Repair Type of Project: XNew _Addn XAlteration _Repair #of List of Fixtures #of List of Fixtures #of List of Fixtures #°f List of Fixtures Fixtures Fixtures Fixtures Fixtures NC—Air Handling Units Heat Pump Toilet Backflow Preventer(Inside Bldg) Forced Air Systems Unit Heater 2 Bathtub Urinal Gas Piping Boiler Lavatory(Wash Basin) Drinking Fountain Water Heater Refrigeration j.. Shower Floor Drain Gas Fireplace Wood Stove 1 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 2. 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 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 1 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 iTC //./i PERMIT#()1�b-Owner/Au or Agent Signature Date (Revised 9/2dt3//2016)