1924 MCDOUGALL AVE 2019-02-20 - Laserfiche WebLink

@IXT PERMIT APPLICATIC BUILDING / MECHANICAL/ PLUMBING/SIGN/SPRINKLER/ DEMOLITION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET,EVERETT,WA 98201 (P)425-257-8810 1 FAX 425-257-8857 I(E)everetteps@everettwa.gov I www.everettwa.gov/permits (Bide or Black Ink?Only-Please)_ PROJ'ECT SITEI FO MATION PROJECT SITE ADDRESS: Ck. PROPERTY TAX#: LEGAL for new construction: Short Plat/subdivision 1 Lot No. (attach copy of long legal description) n //]] CONTACT INFORMATION OWNER NAME:P1 e�5 -lzb d2 . p 7r J A.J.iv/Ni rs TENANT NAME(II Vf Commercial): OWNER' `MAILING ADDRESS: STREET.33 a'o �D/(J/ ,E' R J" Tr CITY STATE U1VA ZIP e3 9 a 0 l OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME: cQ L Ct S,, 04/ t)Of? ,H'U /W)4:-IS W CONTRACTOR ADDRESS: STREET £3 2 0 ,lO/// t 45 #7) rn i,E E7-1-- CITY STATE W ZIP �8a © ti CONTRACTOR PHONE: z/9 3'-a 7 3 Cl q0,0 CONTRACTOR EMAIL: CONTRACTOR LICENSE i` REQUIRED): CITY OF EVERETT BUSINESS LICENSE#(REQUIRED):� - PRIMARY CONTACT: OWNER 0 CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: CONTACT EMAIL: '° BUILDING;-PERMIT"APPLICATIO, Existing Use of Building: `�'� Contract Price of ork:$3Q ,000, . - Proposed Use of Building: S\7 Heat Source: s ❑Ele ' Other Building Type: IKSFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units: ❑Commercial CI Industrial Type of Project: ❑New ❑Addition KRemodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition El Change of Use DESCRIPTION OF WORK: dam N..;ren &A. (leo-r,t, -4ettin.egg )14 loitilitt �� c 0\ Z t ASSOCIATED BUILDING PERMIT#(if applicable): �� MECHANICAL PERMIT APPLICATION i PLUMBING PERMIT APPLICATION 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 NC-Air Handling Units Heat Pump l V Toilet Backflow Preventer(Inside Bldg) I I/ Forced Air Systems Unit Heater Q (/Bathtub Urinal Gas Piping / Boiler Q t/ Lavatory(Wash Basin) Drinking Fountain Water Heater ( Refrigeration Shower Floor Drain Gas Fireplace Wood Stove 9 (/ Kitchen Sink&Disposal Grease Trap Gas Range Ducting 1 C/ Dishwasher Roof Drains Clothes Dryer Hookups Other: Clothes Washer Medical Gas I c/ Range Hood Water Heater Other: i Exhaust Fan Sink(Service/Bar/Mop/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,st e,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,efore 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 ith the State Contractors Law 18 27 RCW and 296.200A WAC. City of Everett Official Use Only lif 1 L2 -- et, • Owner/Authorized Agent Signature Date (Re 9/2016)