4021 FRIDAY AVE 2019-02-06 - Laserfiche WebLink

PERMIT APPLICATION 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 www.everettwa.gov/permits trftM#t B ar *Ott*.Etti t se) #:000 .SITE IN Il It `.O$ ,_ . PROJECT SITE ADDRESS: 11 Q, cr d ,re i (M2q 01 PROPERTY TAX#: OO)1(Ogg t)ODJ 007n LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) OWNER NAME: Mt't / o ct I:)fr1L VII (, TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET "(Oat Pr;do ()» n CITY E vex., STATE W 1 t ZIP clic OWNER PHONE qp.mcwth t- CONTRACTOR NAME: n Q- CoYZ s--c u C,- OY1 CONTRACTOR ADDRESS: STREET ` D I o La'S I\)f 13and, P L CITY kkl / anti d STATE wig ZIP 9 icD 5 LI CONTRACTOR PHONE: 614 aZ S� 3 3 to ^ f q,�s CONTRACTOR EMAIL: i t t-1/ aLth_Spew CONTRACTOR LICENSE#(REQUIRED) I'1 y 0 CITY OF EVERETT BUSINESS LICENSE#(RE• IRED): PRIMARY CONTACT: ❑OWNER 0 CONTRACTOR MOTHER(Please Specify) VO f fYl.a ChocwS4 i, CONTACT NAME: 4j1 SI'fitytif&t41. CI Z ) CONTACT PHONE: (Li a --) -.5 3- (9 5 Ee TZ Ac i i �5 Wl i� pj 1 ) 71 -3Z44'' CONTACT EMAIL: — r'xe i L SUV)—S pares BWI DING +PERMIT*PlooktoSCESRAMMENNEEMBEgnag Existing Use of Building: Contract Price of Work:$ t0 Loa Proposed Use of Building: (.` k Heat Source: as DElectric ❑Other Building Type: ❑SFR-Detached ❑SFR-Attached ODuplex ❑Multi-Family-#of Units: ❑Commercial CI Industrial Type of Project: ONew ❑Addition CI Remodel Cl Repair ❑T.I. ❑Sign OSprinkler CI Demolition ❑Change of Use DESCRIPTION OF WORK: 2 OWttitr t -corn c u - Coo S-F &1 e- l 04/S ` tie ov cIi'-ioRed tie b-t.to ) rOD--W\J!_ ' t$U.dwolf-61;1 ek of d; �©J%A. ASSOCIATED BUILDING PERMIT#(if applicable): C t'_- {4i 2*sI� ..MEC$A 11 oRmtT AP$.ICoI O$ PtfoBINt PERM T Ai stCATION \ t Type of P oject: _New r Addn _Alteration _Repair Type of Project: _New _Addn _Alteration _Repair #of #of #. Fixtures List of Fixtures Fixtures Li f Fixtures Fixtures List of Fixtures Fixtures • of Fixtures A/C— • Handling Units eat Pump Tot= Ba ow Preventer(Inside Bldg) Forced Air . ems Unit Heater Bathtub rinal Gas Piping Boiler . Lavatory(Wa • Basin) Drinking Fountain Water Heater Refrigeration Shower Floor Drain Gas Fireplace Wood Stove Kitchen Sink&Disposa Grease Trap Gas Range Ducting Dishwasher Roof Drains Clothes er Hookups her: Clothes Washer edical Gas Ra►.e Hood Water Heat- Ot • Exhaust Fan Sink - ice/Bar/Mop/etc.) Other: RI t KL. R/ UP LS 10 0STI A Chemical or Water INo.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#�' / (9 ��/ice 3flcftofl Owne uthorized Agent Signat Date (Revised 9/23/2016)