310 E MAGNOLIA AVE 2019-02-11 - Laserfiche WebLink

Jul 18 2018 10:53AM Washington Water Mars 8663757454 page PERMITOF ERE Nisii APPLICATION S BUILDING! MECHANICAL! PLUMBING ! SIGN !SPRINKLER! DEMOLITION � CITY EV TTPERMIT VICE ..7 -7' 3200 CEDAR STREET,EVERETT,WA 98201 (P)425- - 10 I FAX 425-257-8857 i(E)evereiteps@everettwa.gov I www.everettwa.govlpermits (Blue or Black Ink Only Pleas //� PROJECT SITE INFORMATION PROJECT SITE ADDRESS: CYO tit th goo i to A/tSIPROPERTY TAX ft: 3g yeezvo,61 LEGAL for new construction: Short PlaVsubdivision Let No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: ,C.)f4N5( tJ 1 D/3146 j TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET 30 /Wyk)/ft , 4.- e CITY V t" STATE Wit ZIP �Z,c)3 OWNER PHONE:(...4-M---Z —,GfL '17.7 OWNER EMAIL: CONTRACTOR NAME: W W I IU4Th J `()PrT-6t H T j- t CONTRACTOR ADDRESS: STREET 1715 L it(p kirc 56 - f t box 6/G�2p c 0 cmr i tin, / STATE IAA- ZIP Rs/L56 CONTRACTOR PHONE: x/Z' WF 3" L/7/ CONTRACTOR EMAIL: TtNl -HVAG C�6maIL, CUY1l CONTRACTOR LICENSE#(REQUIRED): U.MISLeirkine CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): C75 ,95/1/1 PRIMARY CONTACT: 0 OWNER COCONTRACTOR 0 OTHER(Please Specify) CONTACT NAME• CONTACT PHONE: 924-, 3-C/ 7/ ` ICC N111- S CONTACT EMAIL: U./W.-WO-4 11r .6414-11_, 14L+t-.Cow BUILDING PERMIT APPLICATION Existing Use of Building: 1,V61(2,4444--) Contract Price of Work:$ t: AN (-2 _ __ Proposed Use of Building: Heat Source: ❑Gas 3ctric ElOther Building Type: R-Detached OSFR-Attached El Duplex ❑Multi-Family-#of Units: ❑Comrnerclal ❑Industria] Type of Project:gew ❑Addition ORemodel f:Repair DTI. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: k 61140 . QI- , /tet c/L-n WA-#41 -17e41,9 s) ASSOCIATED BUILDING PERMIT#(if applicable): MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION Type of Project: New — Addn Alteration _Repair Type of Project: New Addn _,Alteration Raps r e^7"C #of List of Fixtures #of List of Fixtures #of List of Fixtures #of List of Fixtur ��'��YYY;; Fixtures Fixtures Fixtures Fixtures NC-Air Handling Units Heat Pump Tcilet 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 shwasher Roof Drains _ Clothes Dryer Hookups Other; Clothes Washer Medical Gas Range Hood Water Heater Other: Exhaust Fan Sink(Service/BariMop/etc,) Other; • SPRINKLER i SUPPRESSION SYSTEM . Number of Heads ACKNOWLEDGEMENT::1 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 lam authorized by the owner of this property to perform the work for which application is made, and i comply with the State Contractors Law f B,2 r and 290.200A WAC. City of Everett Official Use Only {r j .�IJ J �'J�// _�/ [PER T . 0 1` 2, j Owner uthorized Agent Signature Date (Revise 5/20/2015)