6602 CADY RD 2019-01-24 - Laserfiche WebLink

,IP,"/--4PERMIT APPLICATION BUILDING /MECHANICAL/PLUMBING/SIGN /SPRINKLER/DEMOLITION 4'71 CITY OF EVERETT PERMIT SERVICES r 3200 CEDAR STREET,EVERETT,WA 98201 ORIGINAL (P)425-257-8810 I FAX 425-257-8857 I(E)everetteps@everettwa.gov I www.everegov/permits I � i � �k .� =JS�I`�!�� ® 13Miii e tY" Ia �d� "'t'�rnice_ NY�d d�;tE�[t'�I�U�Md�.�. 1---PROJECT SITE ADDRESS: �(UirRRR ERTY TAX#.ovjui) LEGAL for new construction: Short Plat/subdivision �I`?C�' Lot No. (attach copy of long legal description) uki {i � m� ` m a ,r,' _.:7h,, l!�E '3 Az:-. ii - 9lr _ T c -� Ma. p � LP `di l0 1I ��Qu , N _,—14.;_,,,w, 5OWNER NAME: 1)6_4/\CI\ v-Vd T TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET L.(4e0-2-- r -�..A13 CITY f. '- `'V (I— STATE^_... ZIP 9 )•"-W"3 3 OWNER PHONE: 71.2 C6S-1.9 3 1 OWNER EMAIL: roM___. 1"2- CONTRACTOR NAME: ` ,Q, '171 c'.-v -'--' ��1/� CONTRACTOR ADDRESS: STREET 1 4 21 CY/U` cr\ <J tl--I M , CITY 1- STATE 1,-J ZIP 2 3 CONTRACTOR PHONE: (" Z-c ' 3^ t r '1 CONTRACTOR EMAIL: in Lj CONTRACTOR LICENSE#(REQUIRED): W..AAEe BlsM Q CITY OF EVERETT BUSINESS LICENSE#(REQUIRED). 1-9,L PRIMARY CONTACT: 0 OWNER CONTRACTOR 0 OTHER(Please Specify) CONT T NAME: - CONTACT PHONE: C.f2--7-1 i.' Y3 61 la/ 1A/� KA o � (/ CONTACT EMAIL: 1. al Baa 4'd.� bM i+ �� L h. .. ..�,'@_t� �� ui�.. �mN4Rn'�Si��i4 �'�m ..,.-�. rc-.a, : Gx � Ik,iN ,a',,h-:',447.-4�iu.•n,..�. i 9�iait i ui�a� �i�s� F, �j aa Existing Use of Building: Contract Price of Work:$_ - f_ Proposed Use of Building: Heat Source: ❑Gas Electric ❑Other Building Type: ❑SFR-Detached 6FR-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: S` lX Ciov c,/,L --u5 s ,v`, -,, t ASSOCIATED BUILDING PERMIT#(if applicable): 1L1I r 7 i ;N ® PERMI ' "a';ERMIMEMEJei 11, ,.. :4 .I1 j 6.w Type of Project: _New _ Addn Alteration _Repair Type of Project: _New _Addn _Alteration _Repair #of List of Fixtures #of List of Fixtures #of lk List of Fixture #of List of Fixtures Fixtures Fixtures Fixtures Fixtures A/C—Air Handling Units __Heat Pump —ml.'�— El:ckflow Prevent- nside Bld•) Forced Air Systems Unit Heater -[EL b ' LI/ZIMEWII Gas Piping -Boiler ®IF 7 Basin) EL king Foun.- Water Heater Refrigeration ®Shower_® ark Drain Gas Fireplace Wood Stove IZEIMEM Disposal IEEEkIDUIIIIIIIIIIIIIIIIIIIIIII Gas Range Ducting -Dishwasher® Roof D IriE Clothes Dryer Hookups Other: -Clothes W1117=1/11 Medical GIT. Range Hood ® Gam® Other: MIIIIIIIIIINIM Exhaust Fan rvice/Ba Mop/etc.)—Other: Waal - 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.lam 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 4 / , , / . PER T# o (Wi rRtr-k0 _ CR. Owner/Authorizer Date (Revised 10/12/2015)