815 ALPINE DR 2019-01-17 - Laserfiche WebLink

OB/23/2017 WED 14: 41 FAx Fast water Heater 20 (0 5te a. • PERMIT APPLICATION 1r/ � BUILDING I MECHANICAL I PLUMBING/ SIGN/SPRINKLER/DEMOLITION � CITY OF EVERETT PERMIT SERVICES f 3200 CEDAR STREET,EVERETT,WA 88201 (P)425457-8810 1 FAX 425-287-8057 i(E)everetteps(LT?everettwagov I www.everetiwa.goVlpermtt$ • (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: 51 j j Akpi N Qiz PROPERTY TAX 1/o t•41-1 f 5Tf)c30b 'IV LEGAL for new oonatructlon: Shaft Pla1/aubdivlaton Lot No. (attach copy of tong legal description) CONTACT INFORMATION OWNER NAME: d il11 , - AIL TENANT NAME(If Commercial): OWNER MAILING ADDRESS: ernaEr 0 15 A �! !J Jam. - ^^ J Q� ony ,f / , STIVit MP C- O 2)3 OWNER PHONE: 1 a C l In I D OWNER!:MAIL: �" ++++++ 1111 CONTRACTOR NAME; fit ST kid Al Aks.Ai- CONTRACTOR ADDRESS: eTREEr \ "1'5 N VQU- PILLA) C.IDco __ co l C'f �L., STATE i uet //��c ZIP O D ` CONTRACTOR PHONE: —l�5 , (li CONTRACTOR EMAIL: IF QVII 1Tc t -l) --1.0tu:4 j/ '• D CONTRACTOR LICENSE#(REQUIRED): A Sfi b, °VIP r te.. CITY OF EVERETT BUSINESS LICENSE d(REQUIRED)• e(453 PRIMARY CONTACT: 0 OWNER (CONTRACTOR 0 OTHER(Please Specify) , CONTACT NAME: 1� CONTACT PHONE: o,/L i o•7 1) r t' C r L1 CONTACT EMAIL: c ngft _ _ l�W`+� ► '4'�' WW1 BUILDING PERMIT APPLICATION Exiattn: Use of l3ulldin,: d f Contract Price of Work: 6 Proposed Use of Building: Heat Source: i►!"eas ❑Electric DOther ..*-- !adding Type:(*FR-Detached C1SFR Attached ❑Duplex OMuiti-F8mliy-#of Units: I ICommarcial ❑Industrial Type of Pro act: ❑New ❑Addition C lRernodel c13,1Repalr CIT.?. CISign - ❑Sprinkler IJDemolltIon ❑Change of Use DESCRIPTION OP WORK • fm1Y1 OW, / reQ\A,C, 6PrS wa.-k- r \A6 a,.t- . ASSOCIATED BUILDING PERMIT if Qf avllcablo): - - . _MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION .. _— Type of Project: New Addn _Alteration Repair Ty•- • • -. New _Adcin _Alteration —Rep PIrums List of FixturesFixture& List of Fixtures Fi#ta fes list of Ffxturaa F/ List of F urea xtures A/C—Air Handling Units Heat Pump oilet Backflow Pr, ter Inside Bid. _ Forced Air Systems Unit HeaterBathtub Urinalto 'Gas Piping 'Boller Lavatory(Wash Basin) •rinkin: •.untein Water Heater Refrigeration Shower ••r r sin Gas Fireplace Wood Stove Kitchen Sink&Disposal... Or::- Trap -Gas Range Ducting _ Dishwasher T _ -oof Dra-: - Clothes Dryer Hookups Other: lathes in�aaher Medical Ga: Range Hood � ater Heater Other. -- Exhaust Fan k(Service/Bar/Mop/etc. - Other: - .__ SPaIN�S,LFR-�sUPr B8IO I _ —meq emioai or W .of Heads - ACKNOWLEDCiEM JT`/have revieweds epprloetlon end confirm the inrarmalion contained herein le true end eorract Work done pwauant to this permit must comply with current federal,stetei and local law.The granting of a permit only authorizes approved work end no deviations thersftmrn.Deviations must first be euthorlrad At writing from the 6ulfding Olticlal betty's being authorized undereny circumstance.I am the owner,art em authorized by the owner of this properly to perform the work for which appfloe(Ion is made. and I comply with the State Centreotora Law 18.27 RCW and 20a,200A W4C tCity or Eti 9...verett Official Use OM,8'/.33- (4- PER \qog — 01 114Q)Al own Leerze Ag Signature Date (RevisedW23/POfi)