3931 KROMER AVE 2019-02-11 - Laserfiche WebLink

PERMIT APPLICATION BUILDING/MECHANICAL I PLUMBING/SIGN I SPRINKLER 1 DEMOLITION '11)*11114400 I.'r --A--P -111e* i CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET,EVERETT,WA 98201 (P)425-257-8810 I FAX 425-257-8857 J(E)everetteps@everettwa.gov I www.everettwa.gav/permits t „l':--- ' ..a..- ., C0044 P$ IW , 0 4 CrOt"IWOORWA1V ,-' kOAuY }rw AV PROJECT SITE ADDRESS: 313 t K y1 er ],tom PROPERTY TAX#: 2 90 S3 0003css co LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) S . �. m;.�..EVay.. ,..xv ..2.r,.w .u....,.M ,a} , {i0:010,Xik OrkkAttOrKa,`*a:�,:"t#,,;?K:�" '.s k rz`r, Vw. 3 .,i.:. Wu' " 1.:.4 S$ OWNER NAME: y}ck,,,>s j ie LA1 /1+7 TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET 3 53 i kto, t& CITY t` titre/J-4- STATE jP` ZIP qg 'Zc:::, OWNER PHONE: Q 6& - 3oo- .5-ti 0 CI OWNER EMAIL: /V J } CONTRACTOR NAME: ji f t,tJ Pte-IA/LW I(..& Lt..C CONTRACTOR ADDRESS: STREET 1 8� 1$,Z-`1 L_ 114- - IA(�� 0 CITY Y 1 t Y V►7,'{�� STATE LA.pj .. ZIP 9'27Z. 2 CONTRACTOR PHONE: 1-1,25_ c,.'` r_ rf S-1.1 s. CONTRACTOR EMAIL: /i4).Jhark wa CI.5 ,,MSI I,Oyyy CONTRACTOR LICENSE#(REQUIRED):JVW f3 w}) '3 L 8� j2)12)pCITY OF EVERETT BUSINESS LICENSE#(REQUIRED): S 7)8 y PRIMARY CONTACT: ?E'OWNER 0 CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: as 6 _300 .. s-yo, Vila51 Lu Ct '' - Z CONTACT EMAIL: A,/P ' = ::-:-77;:77:-:i',-7 :. ,BU LDINGfPERMI T# WPt:I<OAVON: ' 4 w � :AW n : Existing Use of Building: Contract Price of Work:$ `oo T Proposed Use of Building: Heat Source: $Gas ❑Electric ❑Other Building Type: ❑SFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units: ❑Commercial ❑Industrial Type,of Project: ❑New ❑Addition ❑Remodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: RenGit,-e wu,VNI- 1.--t i--e._ fid— C✓ }�.C. v1u I (. .s 14,27 w —Ptvtic s0 ASSOCIATED BUILDING PERMIT#(if applicable): P0ilRit` kJ4KPl. 1: Cil ?.t w Type of Project _New Addn Alteration _Repair Type of Project: New _Adds Alteration Repair #of List of Fixtures #of of Fixtures Fixtures List of fixtures #of List of Fixtures # List of Fixtures Fixtures Fixtures NC—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 `► 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: ' .. •0PRRNKI:ER tSUPPRESSION 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.f am the owner,or!am authorized by the owner of this properly to perform the work for which application is made, and t comply with the State Contractors Law 18.27 RCW and 298.200A WAC. Cityof Everett Official Use Only PERMIT#M /n 0 Owner/Authorized Agent Sianat n.rb