2502 CEDAR ST 2019-02-05 - Laserfiche WebLink

PERMIT APPLICATIO ►"�' BUILDIIH I MECHANICAL/ PLUMBING /SIGNRINKLER I DEMOLITION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET,EVERETT,WA 98201 (P)425-257-8810 FAX 425-257-8857 I(E)everetteps@everettwa.gov I www.everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION ��7,2- PROJECT SITE ADDRESS: , r/ Q/e PROPERTY TAX#: oZ .520C) b U(JU LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: TENANT NAME(If Commercial): OWNER MAILING Am-ESS: STREET c /.ca�/'y7 CITY ] .e.rZ e 7"T STATE "< ZIP y 1-2, / OWNER PHONE:</ZS-,2SZ •j4"// 9 5-745-OWNER EMAIL: CONTRACTOR NAME: /V.o,t/e_ CONTRACTOR ADDRESS: STREET CITY STATE ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: CONTRACTOR LICENSE#(REQUIRED): CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): PRIMARY CONTACT: frOWNER 0 CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: CONTACT EMAIL: BUILDING PERMIT APPLICATION Existing Use of Building: /L' Contract Price of Work:$ 3 ee--) v Proposed Use of Building: Heat Source: ❑Gas ❑Electric ❑Other Building Type: EkS1R-Detached ❑SFR-Attached ❑Du lex ❑Multi-Family-#of Units: ❑Commercial ❑Industrial Type of Project: ❑New ❑Addition ❑Remodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: GGA/1��i -v2 r�CJ fQ5 / "`4../i4C If 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 - Lavatory(Wash Basin) Drinking Fountain J 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:th /:,4 e- 6,9 Lie✓ wr J4 SPRINKLER/SUPPRESSION SYSTEM i‘.2 o 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 ' /� PERMIT y I BolB-DOL1 Owner/Au . zed Agent Signature %/ Date (Revised 9/23/2016)