6930 CARSON RD 2019-01-24 - Laserfiche WebLink

PERMIT APPLICATION BUILDING/MECHANICAL/ PLUMBING/SIGN/SPRINKLER/ DEMOLITION CITY OF EVERETT PERMIT SERVICES OLT 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 (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: l.� A?30 (4i'S pPROPERTY TAX#: XS/ 3©0 007 D 0 0 LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: / / OO_ E A,et/,clr c,,..u..77.Mjne:///TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET 604 3o 64¢-1z_scf,/ �^ CITY E-1/6-144S-7-7— STATE 14..4 4 ZIP OWNER PHONE: 51:, -13 j - l2.74 xOWNER EMAIL: CONTRACTOR NAME: iv-4-k) ftiJv,Es ij CONTRACTOR ADDRESS: STREET G 40 6 /32 9'T /V,6 CITY 6 PVG1 r c+ A9 STATE et)A- ZIP e 9gv�� CONTRACTOR PHONE: 42,5 - Z41-36/7(0 CONTRACTOR EMAIL: hit/14_7 e a �e�J� � .C CONTRACTOR LICENSE#(REQUIRED): 4 tipliEto K1.-$S6, 4-2- CITY OF EVERETT BUSINESS LICENSE#(REQUIRED),' ( I PRIMARY CONTACT: 0 OWNER 14,CONTRACTOR 0 OTHER(Please Specify) 1 CONTACT NAME: CONTACT PHONE: s 2� —2_' 3 - Co 7a/4-6.1) ,,,"! CONTACT EMAIL: .� � 4_elvk..t—J C ti'^— BUILDING PERMIT APPLICATION Existing Use of Building: F2 Contract Price of Work: bo." 42* Proposed Use of Building: Heat Source: ❑Gas MElectric ❑Other Building Type: ❑SFR-Detached i,SFR-Attached ❑Duplex ❑Multi-Family #of Units: ❑Commercial ❑Industrial Type of Project: ❑New ❑Addition gRemodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: ►Zvt/ 4535C LSTs K..A? e-tL Tv k: D fzetv-r ASSOCIATED BUILDING PERMIT#(if applicable): 7J�1" r17.,"". 0 W 3 MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION Type of Project: _New Addn Alteration _Repair Type of Project: _New _Addn v.itIteration _Repair #ofList of Fixtures #°f List of Fixtures #of List of Fixtures #°f List of Fixtures Fixtures Fixtures Fixtures Fixtures NC—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 Mat I 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 r Hood Range ( ater Other: � r Exhaust Fan Sin (Service/Bar/Mop/etc.) Other: SPRINKLER!SUPPRESSION SYSTEM Chemical or Water 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 comply with the State Contractors Law 18.27 RCW and 296.200A WAC. City of Everett Official Use Only PERPYIU T 1117 f 614 - 66 9 9 Owner/Authorized Agent Signature [9 ate (Revised 9/23/2016)