2413 EVERETT AVE 2019-02-05 - Laserfiche WebLink

PE-MIT APPLICAT un 00111111,...A BUIL /MECHANICALF EVERETT PERMIT I SI — PRINKKLER/ DEMOLITION ,iiiiwi CITY CES 3200 CEDAR STREET,EVERETT,WA 98201. (P)425-257-8810 I FAX 425-257-8857 1(E)everetteps@everettwa.gov I www.everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: 2-4 CP/p PROPERTY TAX#: LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: 3'�QA tA,1 ,/N TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET 1\)LI 6+ a_nt•,t Aja- 7 CITY A A A A A STATE i ZIP 5e 2 -70 OWNER PHONE: %,0--63, 2 ).- Z OWNER EMAIL: JiL J 1 VU1 4 L/ () @ h,zj1 rt .j-(=.//wL CONTRACTOR NAME: ZJA (AA M444//1 (Qv)MQ^\ CONTRACTOR ADDRESS: STREET J CI STATE ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: CONTRACTOR LICENSE#(REQUIRED): CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): PRIMARY CONTACT: OWNER 0 CONTRAC .OR 0 OTHER(Please Specify) CONTACT NAME: ' ` tra :CT PHONE: .I.BtJ ,,I v -1 JL ' ZfA CONTA T EMAIL: BUILDING PERMIT APPLICATION k� JUO Existing Use of Building: Contract Price of Work: ; Proposed Use of Building: Heat Source: ❑Gas Ii -ctric ❑Other Building Type: ❑SFR-Detached ❑SFR-Attached ' � uplex ❑Multi-Family-#of Units: ❑Commercial 0 Industrial ❑ �� Type of Project: New ❑Addition ❑Remodel �,dRepair DTI. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: -R\1-e kKAAo uo.. otyr W,00-4-\ tP u *2. 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 F ures #of List of Fixtures #of List of Fi s.. • Fixtures Fixtures Fixtures Fixtures NC—Air Handling Units H- •ump Toilet Backflow P. `enter(Inside Bldg) Forced Air Systems nit Heater Bathtub Urin-- Gas Piping Boiler Lavatory(Wash Basin) P liking Fountain Water Heater Refrigeration Shower / Floor Drain Gas Fireplace Wood Stove Kitchen Sink&Disposal Grease Trap Gas Range Ducting Dishwasher Roof Drains Clothes Dryer Ho, ups Other: Clothes Washer Medical Gas Range Hood Water Heater Other: Exhaust Fa , Sink(Servs-- Bar/Mop/etc.) Other: SPRIN. ER/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 296.200,4 WAC. City of Everett Official Use Only FERMI Ar40 - - ^ O Owner/ �•rized Agent Signature Date (Revised 9/23/2016) i l