1709 CEDAR ST 2019-01-25 - Laserfiche WebLink

OTerrPERMIT APPLICATION BUILDING/ MECHANICAL/ PLUMBING/SIGN /SPRINKLER/ DEMOLITION CITY OF EVERETT PERMIT SERVICES 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 y° , = PROJECT SITE INFORMATION PROJECT SITE ADDRESS: 170? C6,0AR .* PROPERTY TAX#: 054-006" 00 00 LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) ° `' CONTACT INFORMATION', ':,-,- s,,' OWNER NAME: KELLY RA 14,LSTDNI TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET 170? etn giz Si. CITY .Ev SET STATE WA. ZIP f BZV I OWNER PHONE: '12S7S0 S30'/ OWNER EMAIL: KRAALS ?1 ( c t 4OL,Coil CONTRACTOR NAME: 01,60 EP./ SELF CONTRACTOR ADDRESS: STREET CITY STATE ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: CONTRACTOR LICENSE#(REQUIRED): CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): PRIMARY CONTACT: g OWNER 0 CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:�/175— 75O 0'53T S-j- KELLY ea.cLJ C1 CONTACT EMAIL: El,L'f.o• R4btLsAJ eBa>EiKIs.0O3-( BUILDING=PERMITAPPLICATION ..�= Existing Use of Building: Contract Price of Work:$ Z-9 P Proposed Use of Building: Heat Source: OGas ❑Electric ❑Other Building Type: ❑SFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units: OCommercial ❑Industrial Type of Project: ❑New ❑Addition ❑Remodel , Repair ❑T.I. ❑Sign OSprinkler ❑Demolition OChange of Use DESCRIPTION OF WORK: REP4/X OF EAST E Sotrr7 SIDE OF J/OLLSE. As REDU/,PF17 AEMDUE �' REPLACE AIUD SILL BE/4vi , SILL PLATE, STu DSS 13/1THh'O0N1 IV/,(/LL^4J./ ,5 -/EgTflld6, 5iDin/G, VAPDu,e. i3,9)2E/ER. RE FER.ENZE A7T.4GHF.L7 2gAwJ/)(-c, ASSOCIATED BUILDING PERMIT#(if applicable): MECHANICAL PERMIT'APPLICATION ., . PLUMBING,PERMITAPPLICATION',;t - Type of Project: _New_ Addn _Alteration _Repair Type of Project: _New _Addn _Alteration Repair Fixtures List of Fixtures Fixtures List of Fixtures Fixtures List of Fixtures Fixtures List of 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 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/SUPPRESSION SYSTEM-: '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.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 I lAte.v0,1p /i2C/;0/g PERMIT# �/�)J', ^/ �n.., P W t Oo Lf-©6�\ Owner/Auth;"ze. gent Signature Date (Revised 10/12/2015)