1101 E MARINE VIEW DR 2019-02-11

PERMIT APPLICATIO IIII BUILDINW) MECHANICAL/ PLUMBING /SIGNPRINKLER/ DEMOLITION ,. CITY OF EVERETT PERMIT SERVICES 1�� 3200 CEDAR STREET,EVERETT,WA 98201 (P)425-257-8810 1 FAX 425-257-8857 1(E)everetteps@everettwa.gov 1 www.everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: /8"/ 61,E ,e Web./ ari ie.e.._ PROPERTY TAX#: LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: .1)0 At Lorre Iv TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET /7 J/.5- 4 Vg Z.4 w CITY t y kJ W 9 !L„jaw/ STATE 11,,/11- ZIP l',w7 OWNER PHONE: pe�0 2' �!^ OWNER EMAIL: yl lfiic 0 -sly Aer yt CONTRACTOR NAME: a1 /n t0`` CONTRACTOR ADDRESS: STREET CITY STATE ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: CONTRACTOR LICENSE#(REQUIRED): CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): PRIMARY CONTACT: WNER 0 CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: �/ CONTACT PHONE: ae` 42d`�2q 0oiV 14%/171011/ CONTACT EMAIL: a/011 40(e 0 41 ;/,e0iii BUILDING PERMIT APPLICATION Existing Use of Building: Contract Price of Work:$ 90Q0 Proposed Use of Building: /Z.Si'(,4,n f.L Heat Source: ❑Gas KEslectric ❑Other Building Type: SFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units: ❑Commercial ❑Industrial Type of Project: ❑New ❑Addition ❑Remodel El Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: LANA) ./ ASSOCIATED BUILDING PERMIT#(if applicable): 44i /7/2-. -004/ MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION Type of Project: New_ Addn _Alteration _Repair Type of Project: New _Addn _Alteration _Repair #of List of Fixtures #°{ List of Fixtures #°f List of Fixtures #°f List of Fixtures _Fixtures Fixtures Fixtures Fixtures A/C—Air Handling Units .-/ Heat Pump 3 Toilet Backflow Preventer(Inside Bldg) Forced Air Systems /3 Unit Heater / Bathtub Urinal Gas Piping Boiler 3 Lavatory(Wash Basin) Drinking Fountain Water Heater / Refrigeration Z Shower Floor Drain Gas Fireplace Wood Stove Kitchen Sink&Disposal Grease Trap Gas Range V Ducting Dishwasher Roof Drains 2.. Dryer Hookups Other: 1. Clothes Washer Medical Gas Range Hood _ • Water Heater Other: r Exhaust Fan / Sink(Service/Bar/Mop/etc.) Other: SPRINKLER/SUPPRESSION SYSTEM Chemical or Water I 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.I am the owner,or I am authorized by the owner th s ro rty to perform the work for which application is made, and I comply with the State Contractors Law 18.27 RCW and 296.200A WAC. Cif Everett Official Use Only / 1 / P RMIT� %Q 3 to , , Owner/Aut orize•/,gent Signature Date (R vise /23/2016)