701 ALVERSON BLVD 2019-01-17 - Laserfiche WebLink

PERMIT APPLICATION■ BUILDING I MECHANICAL i PLUMBING i SIGN I SPRINKLER/ DEMOLITION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET,EVERETT,WA 98201 (P)425-257-8810 FAX 425-257-8857 I(E)everettepsigeverettwa.gov I www.everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: 70I A-I veirs0vl R(_VO, PROPERTY TAX#: Ot1-I5S '1300/DO LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT.INFORMATION OWNER NAME: Pe,It 14 E'+113( ✓fran TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET j Z.' 7L1i" 54'• 56 , CITY £✓�rT�4 STATE tA` ZIP 8 2.0.3 OWNER PHONE: Z/25-773--g52-5 OWNER EMAIL: de 3 0 ha hvua 1,corn CONTRACTOR NAME: U 01 bre!, G o n 5-1-ruc-+i r.i In . CONTRACTOR ADDRESS: STREET PO Box !Vic CITY !Met 1{I !tea STATE W R ZIP I. Z-7.3" CONTRACTOR PHONE: `125--$76 -6'76'11 CONTRACTOR EMAIL: • r� @ urh h eller u Ic. CONTRACTOR LICENSE#(REQUIRED): #.i rvi 8 IRECl q 3/PNr CITY OF EVERETT BUSINESS LICENSE#(REQUIRED 5751.3 L/ PRIMARY CONTACT: ❑OWNER 0 CONTRACTOR MOTHER(Please Specify) Au l")io ri 7-ed !3 y©i.t).1 r r CONTACT NAME: CONTACT PHONE: 2.06.-'/S'9-‘651 en 14-v MilJEA CONTACT EMAIL: a1 iii i n e r b eat n .-F BUILDING PERMIT APPLICATION Existing Use of Building: 5 in, e rpt i41 t 1 y 'Res ill evfe.e. Contract Price of Work:$ .35 O©d Pr_o ,osed Use of Building: 511,99i e Iz(kw1y' )e.-5 i d eg t e.e Heat Source: Gas ❑Electric ❑Other Building Type: KSFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units: ❑Commercial ❑Industrial 2:22 of Project: ❑New ❑Addition MRemodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: (as ark Mu•S1-er-Boz4-1/ -Pio VeVVi s-h: e—(o5C1icn,ye Ki+cineien-Ory- In,;+.411 Z00ois Ivi Ber5eN-leA71- ket✓ire (,l-1'i1fry 5ltakci--Re.vdtdue 51-oi.' Ih 6CI3e. n4ofrz-1-'- 401d Far 41-171 (,t)a.14 IV713 asK -tr,de( vfiutn Beeflt- Rewiodel Qj-+avaye Insy.iiafts'.1 -l-Typc?C '+✓/Fara:'rat re. A SOCIA II BUILDING PERMIT#6 Of applicable): MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION Type of Project: _New_ Addn _Alteration Repair Type of Project: New _Addn _Alteration _Repair #of #of List of Fixtures List of Fixtures #of List of Fixtures #of List of Fixtures Fixtures Fixtures Fixtures Fixtures NC—Air Handling Units Heat Pump j Toilet Backflow Preventer(Inside Bldg) Forced Air Systems Unit Heater Bathtub Urinal Gas Piping Boiler 2, 3 Lavatory(Wash Basin) Drinking Fountain Water Heater Refrigeration $ , Shower Floor Drain • Gas Fireplace Wood Stove I Kitchen Sink&Disposal ' Grease Trap Gas Range Ducting I Dishwasher Roof Drains T Clothes Dryer Hookups Other: I Clothes Washer Medical Gas Range Hood Water Heater Other: A Exhaust Fan I Sink(Service/Bar/Mop/etc.) Other: SPRINKLER I SUPPRESSION SYSTEM Chemical or Water No.of Heads ANIMMIONOW 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 lam 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 Owner/Authorized Agent Signature Date (Revised 9/23/2016) - �