820 CADY RD BLDG G 2019-01-24 - Laserfiche WebLink

PERMIT APPLICATION /110irl.:—...A. BUILDING / MECHANICAL/ PLUMBING/SIGN /SPRINKLER/ DEMOLITION CITY OF EVERETT PERMIT SERVICES ' 4011111110 .1-1 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 (alga or Black link Only Please) PROJECT S INFORMATION . 'P PROJECT SITE ADDRESS: KA) C, S. G- 134 PROPERTY TAX#: LEGAL for new construction: Short Plat/subdivis Lot No. (attach copy of long legal description) . ,,.;CONTACT.INFORMATION r. , .. •.,.4-, OWNER NAME: M C�✓�f- O(A1 TENANT NAME(If Commercial): OWNER MAILING ADDS: STREET F52O CecI \i`J‘ , it Cit lot{ CITY ,_d-()' +4 STATE ZIP 4 ) OWNER PHONE: -12-5. 3 S`• 361 1 OWNER EMAIL: CONTRACTOR NAME: J�'rCD1 U __ �,A rb'- ...s /VC,C) n . CONTRACTOR ADDRESS: STREET 1 t 6 �T -��eov`-�-- 4Z U � �j CITY W l STATE ZIP 9 E- G CONTRACTOR PHONE: tt`Lc-- 2 it,S—- ZZZZ CONTRACTOR EMAIL: kk ki-t \AOI" CONTRACTOR LICENSE#(REQUIRED): J A)` .0�L 0 4 CITY OF EVERETT BUSINESS LICENSE�QUIRE :0515-11 ,.... .,., ..,..0 _.,.,.�_, .r... .x. ... ...,..e. v .,:� „__ .�.. .r' _, ,E fa, 3 a s 3 ,. +m ,—.., . :—.. .co.�b s .� ... .....0, t . .: ,:...�. ,.-.n..... ,... ., ...c-,.�. .:...- -•.....,. .a n :..,i. �...mss-.., PRIMARY CONTACT: 0 OWNER 'CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: U-'Zs-. 312. LFq r Do, 'JC 4-`.m CONTACT EMAIL: : , t,B[ ILDING E IT APPLICA 'IONu Existing Use of Building: Contract Price of Work:$ 36v Proposed Use of Building: Heat Source: ❑Gas ❑Electric CI Other _ Building Type: ❑SFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units: ❑Commercial ❑Industrial Type of Project: ❑New ❑Addition ❑Remodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: kph 1 Q & c c)A -ce._. qc..„4-t-c,12---- ASSOCIATED BUILDING PERMIT#(if applicable): MECHANICAL PERMIT APPLICATION . _i PLUMBING PERMIT APPLICATION Type of Project: _New Addn _Alteration XRepair 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 1 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 I 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 I am authorized by the owner of this property to perform the work for which application is made, and I co • with the State Contractors Law 18.27 RCW and 296.200A WAC. A\# City of Everett Official Use Only //1 . 20i 7 P «1 A —6-49' Owner/AL ,/"-ed Agent Signature Date (Revised 9/23/2016)