1014 ANGLE LN 2019-02-05 - Laserfiche WebLink

_j�� I�I��"PP. PERIL'APPLICATION W..kchee, UILDIiiIl IECHANICAL/ PLUMBING /SIGN—�INKLER/ DEMOLITION Nigi 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 (Blue or Black Ink Only 'lease) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: tO\41 k PROPERTY TAX#: LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: Janke Rue TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET 1�7,0.130% Z6 rtt Q c7 G Oe .14 STATE W P ZIP -1 B l t 3 OWNER PHONE: 42.6- 308 -2827_ OWNER EMAIL: J y n,e (0'1 e t Glow. Cori -te • CONTRACTOR NAME: --- i _• - : T. - ?of r c(AYlt Ren-Odc 1 8k •R .zc.t r CONTRACTOR ADDRESS: STREET 513k s moneyPoir i lir 2I,4.A.4-e t ft CITY Aek(A'?9oin STATE t�A ZIP 9$Z Z 3 CONTRACTOR PHONE: 4255" 36-3- 3(0'2. j CONTRACTOR EMAIL: W� CONTRACTOR LICENSE#(REQUIRED): ?AAA m'RA ee4C ci CITY OF EVERETT BUSINESS LICENSE#(RE RED)! PRIMARY CONTACT: X OWNER 0 CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: Lt 2S- , 08 -ZS22_ Jan%ct, Roe CONTACT EMAIL: janroc co. e 14ouiti.Coln BUILDING PERMIT APPLICATION 44 31-3l p j,-- 1-1CO Existing Use of Building: Su.nJ k "C�""�4 rtsi da-rice.. Contract Price of Work:$- 1" I,� >tCOO • Proposed Use of Building: Heat Source: lirGas DElectric ❑Other Building Type: %SFR-Detached ❑SFR-Attached ODuplex ❑Multi-Family #of Units: ❑Commercial ❑Industrial Type of Project: ❑New ❑Addition *Remodel ❑Repair DTI. DSign ❑Sprinkler ❑Demolition ❑Change of Use ''_ DESCRIPTION OF WORK: t�eh"►41At $`I.i�j4,Y15 1L.t�L�+C.._/d.Un'Ihq i lQunC �'kJ.'poWOl r. mon., CGtbiyneirS, c400,4`y -c,Xiu rc s cwnd ace w i, , rue,t.,..) .f tooru 511 cza91 h.e.i-s, tour lac-' o 5, u re-s C Sc,vr.ks,.eccw-c-A-5 #oils+) , w?C -4 tier% ittakiaissoffilaw, male 5 e fir" ISOs -ro -kside wakl. ASSOCIATED BUILDING PERMIT#(if applicable): MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION Type of Project: New _ Addn _Alteration Repair 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 t Lavatory(Wash Basin) Drinking Fountain Water Heater Refrigeration Shower Floor Drain Gas Fireplace Wood Stove k Kitchen Sink&Disposal Grease Trap Gas Range Ducting Dishwasher Roof Drains Clothes Dryer Hookups Other: I Clothes Washer Medical Gas Range Hood Water Heater Other: Exhaust Fan I,.. Sink(Service/Bar/Mop/etc.) Other: SPRINKLER/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 comply with the State Contractors Law 18.27 RCW and 296.200A WAC. City of Everett Official Use Only PERMIT#�n t i' � b'n Own /Authorized Agent Signature Date (Revised 9/23/2016)