3328 FEDERAL AVE 2019-02-06 - Laserfiche WebLink

PERMIT APPLICATION grr 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 i (1��;'� '� i C �I�li(i = �I liPkr ii 'IIIc Ili) til ll!Ii ii �i�. _- �i ii � ixir o��e ,'a'^ �I �{tPoi,ilii) -�y`ii i1 = i �6;i iNi� = 3rIJ"1� i�t�F.-qs �'' 4*d r P t x tiu11 4k 'l'� rk �' ^ 4 n:,r h ! tai : ilk,. �I �, �tiG a. �� 'i-SII � � ;� ,*r� T'��>I�r �r��OR '�� I i ��^.�., �"'�,, � *, n PROJECT SITE ADDRESS: 2 e) 1'0 1_ �e,' ��\ P�OPERTY TAX#: Co Ifl �^� �/ 1_ kat b- LEGAL for new construction: Short Plat/subdivision r `\/ ` Lot No. (attach copy✓ of long legal description) l C_ ONTACT,INFORMATION = OWNER NAME: )`-) -- (c\11...01/4--K-e•-2i TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET ' j CIN Ara.t---:t.... STATE V\-i A- ZIP 9 4g."2/0 1 OWNER PHONE: - 9 1(r 9OWNER EMAIL: CONTRACTOR NAME: . -A--12.-- '1(_,N P „ I`-� ck A t a____,CONTRACTOR ADDRESS: STREET el l SAP)) l � CITY - STATE ZIP Ct. 014 CONTRACTOR PHONE:��•� t- 1131 CONTRACTOR EMAIL: 1\A-6e= 1160"1;2 1/,.I i/"i--(A-A CONTRACTOR LICENSE#(REQUIRED) ' 1' 1� -09 - Q. CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 2- 0 PRIMARY CONTACT: 0 OWNER )CONTRACTOR 0 OTHER(Please Specify) CO TACT NAME: CONTACT PHONE: L-S-/.2,c..M \--1 13 61 jt/1 1 1 . 1, (72..- CONTACT EMAIL: ) or. 6��..(.-�„��iG � „,( ,...+_,L4_,....4 '�" = ' '" .BUIL ;PERMIT�APPPPP ATI.ONm" r , _. -xf Existing Use of Building: Contract Price of Work:$ i Proposed Use of Building: Heat Source: ❑Gas ectric ❑Other Building Type: FR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units: ❑Commercial ❑Industrial Type of Project: ❑New ddition ❑Remodel ❑Repair CIT.!. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WOR 1/ I Vi I 111.cJ , Flit v,lG1 U C (51A- V' j -- --/'-- - -- /°1-'Ull'' ' ASSOCIATED BUILDING PERMIT#(if applicable): 1 V-S a\-1i' MECHANICAL PERMIT APPLICATION-:,g,, :,J PLUMBING°PERMIT APPLICA't'IO,N ,'.`. ^ 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 I 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;, Z 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.1 am the owner,or lam authorized by the owner of this property to perform the work for which application is made, and I comply with the -to Contractors Law 18.27 RCW and 296.200A WAC. PERMIT# fCity of Everett Official Use Only .,� l , n (� ( gi® --.""O 77 Owner/A ,orizegnature Date (Revised 10/12/2015)