Laserfiche WebLink
°1140111011 PERMIT APPLICATIO��i, <br /> BUILDIN4-L IECHANICAL/PLUMBING/S1GI RINKLER/DEMOLITION <br /> ' y J <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET,EVERETT,WA 98201 <br /> (P)425-257-8810 I FAX 425-257-8857 1(E)everetteps©everettwa.gov I www.evereffwa.gov/permits <br /> PROJECT SITE INFORMATION <br /> PROJECTSITE AD e vcv t m o I I L)cy (P1 t+ PROPERTY TAX#: <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME: TENANT NAME(If Commercial): W.Lpc\'s Scdo» Pe lee.lie zst <br /> OWNER MAILING ADDRESS: STREET <br /> CITY STATE ZIP <br /> OWNER PHONE: OWNER EMAIL: <br /> CONTRACTOR NAME: 6 13 e7---- S1ai- S-en vi (-es <br /> CONTRACTOR ADDRESS: STREET 1(Of I . I M-)e 61- l✓ve(etl kkoy FO-31 <br /> � <br /> CITY AI i l ) C ree K. STATE kJ A (7 ZIP e o) <br /> CONTRACTOR PHONE: '`?/Z s'• 3 3o..8)6 d CONTRACTOR EMAIL: blob} 3!e in. so m s/I,t",fi ry-1 <br /> CONTRACTOR LICENSE#(REQUIRED): 13 -r5 j Sy !v PQ' CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): Q 5 J/0 y <br /> PRIMARY CONTACT: )].._. ... ...._... ................ .. ... .. . . . ...... ... _.....__:.,. ... .. ._... .., r.. ,. ...... _...._ ... <br /> OWNER Xf CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: `/25 '330. 0J6D 0 <br /> franlL <br /> CONTACT EMAIL: bb-f-s 19 N se/r7 Sr , C O w, <br /> BUILDING PERMIT APPLICATION <br /> Existing Use of Building: COrY)YYarnaL/ ye ai l Contract Price of Work:$ / t9 <br /> Proposed Use of Building: Heat Source: ❑Gas ❑Electric ❑Other <br /> Building Type: ❑SFR-Detached ❑SFR Attached ❑Duplex ❑Multi-Family-#of Units: Commercial Olndustrial <br /> Type of Project: ONew OAddition ❑Remodel ❑Repair DT.I. ,"Sign ❑Sprinkler ❑Demolition OChange of Use <br /> DESCRIPTION OF WORK: <br /> IYls+Ctj1 ( )) 1,61D st5.n cAnplay <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type of Project: _New _ Addn Alteration _Repair Type of Project: _New Addn Alteration _Repair <br /> #of List of Fixtures #°f List of Fixtures #°f List of Fixtures #°f List of Fixtures <br /> Fixtures Fixtures Fixtures Fixtures <br /> NC—Air Handling Units Heat Pump Toilet Backflow Preventer(Inside Bldg) <br /> Forced Air Systems Unit Heater Bathtub Urinal <br /> Gas Piping Boiler Lavatory(Wash Basin) Drinking Fountain <br /> Water Heater Refrigeration Shower Floor Drain <br /> Gas Fireplace Wood Stove Kitchen Sink&Disposal Grease Trap <br /> Gas Range Ducting Dishwasher Roof Drains <br /> Clothes Dryer Hookups Other: Clothes Washer Medical Gas <br /> Range Hood Water Heater Other: <br /> Exhaust Fan Sink(Service/Bar/Mop/etc.) Other: <br /> SPRINKLER/SUPPRESSION SYSTEM <br /> 'Number of Heads <br /> 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 <br /> 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 <br /> 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, <br /> and!corn with the State Contractors Law 18.27 RCW and 298.200A WAC. <br /> City of Everett Official Use Only <br /> bil / / I• P PERMIT 6,1. � 6 l co <br /> Own r/A ent Sign. Date e (Revised 10/12/2015) <br />