4927 OCEAN AVE 2018-12-21 - Laserfiche WebLink

A. PERMIT APPLICATION h' BUILDING IIIECHANICAL/ PLUMBING/SIGN 15I RINKLER/ 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 I www.everettwa.gov/permits 4(727 IS$ PROJECT SITE':INFORMATION PROJECT SITE ADDRESS:ti ei g.� o ifjon AvL l� PROPERTY TAX#: 29 I)43.. (m9 -0014-00 LEGAL for new construction: Short Plat/subdivision S'G�• 4-W 4 414,04-t Lot No. I (attach copy of long legal description) CONTACT INFORMATION'" OWNER NAME: A j r E pri-A/p yii ` L L_� TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET 1 /SSI ZZE-4S -ShaVe- .)1rive- CITY L4./11h 1.4/!›0(/I/ STATE 'j(/!T ZIP 9'o e7 OWNER PHONE: kl 1,..c"' 7 L/3- 17 / o OWNER EMAIL:UMi 4 r`r enkrprikf 1.- ( ,3141-01/4-0.I s CO 144 CONTRACTOR NAME: Skvl.L AS 0 kJ vita/' CONTRACTOR ADDRESS: STREET G-- •L A S C ,...h „a/ CITY STATE ZIP CONTRACTOR PHONE: Sc'r - GS UWIn CONTRACTOR EMAIL: 50.-41n-G 1f Own Lir CONTRACTOR LICENSE#(REQUIRED): CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): PRIMARY CONTACT: OWNER' 0 CONTRACTO 0 OTHER(Please Specify) CONTACT N ME: \'\ CONTACT PHONE: 1-12 S.-1 lig--by,1 7 VV IU.. s I'2 CONTACT EMA � IL: nom) t�- SI 1 " BUILDINGPERMIT APPLICATION , Existing Use of Building: yet L&4 f L awl Contract Price of Work:$ 3'Sb,Ooo Proposed Use of Building: S FR. Heat Source: 1i'Gas 0 Electric ❑Other Building Type: 'SFR-Detached ❑SFR-Attached 0 Duplex ❑Multi-Family-#of Units: ❑Commercial 0 Industrial Type of Project: I:2New ❑Addition ❑Remodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler CI Demolition ❑Change of Use DESCRIPTION OF WORK: N Gw \A-vvtiC.,.. E R ASSOCIATED BUILDING PERMIT#(if applicable): MECHANICAL,PERMIT APPLICATION PLUMBING PERMIT APPLICATION Type of Project: New Addn Alteration _Repair Type of Project: ,.,LNew Addn _Alteration _Repair Fixtures List of Fixtures Fixtures List of Fixtures #of List of Fixtures #of List of Fixtures Fixtures Fixtures Q A/C-Air Handling Units ( Heat Pump I- Toilet p Backflow Preventer(Inside Bldg) I Forced Air Systems (7 Unit Heater Bathtub b Urinal 1.' Gas Piping 0 Boiler Lavatory(Wash Basin) 0 Drinking Fountain ( Water Heater U Refrigeration r Shower c> Floor Drain ( Gas Fireplace 0 Wood Stove 1 Kitchen Sink&Disposal 0 Grease Trap 1 Gas Range 0 Ducting I Dishwasher 0 Roof Drains 1 Clothes Dryer Hookups 0 Other: I Clothes Washer 0 Medical Gas 1 Range Hood , Water Heater 0 Other: b Exhaust Fan I Sink(Service/Bar/Mop/etc.) O 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 Contractors Law 18.27 RCW and 296.200A WAC. City of Everett Official Use Only PERMIT# /44414'42-1 ' 1 `7 C 1700? -00g c S-- Owner/Authorized Agent Signature Date (Revised 10/12/2015)