3 E MCGILL AVE 2019-02-11 - Laserfiche WebLink

PERMIT APPLICATION #4PBUILDING/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 l(E)everetteps@everettwa.gov I www.everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION / PROJECT SITE ADDRESS: !J E166-r 1(Y�(�\ �t f l�� PROPERTY TAX 001 )Lot )2.-001A,-O\l-O- LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: I V y \ t\ tvilll�(�L(�t I� TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET . V1(1 CSI 1, poe, �/QCITY SV-breAA STATE 'Pr '� q,�zip ��Wg OWNER PHONE: jou - -li- l� I%2i1 OWNER EMAIL:�PIr/,9 (Ql.,6/(VY V(L •Cavyi CONTRACTOR NAME: " CONTRACTOR ADDRESS: STREET CITY STATE ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: CONTRACTOR LICENSE#(REQUIRED): CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): PRIMARY CONTACT: 71 OWNER 0 CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: CONTACT EMAIL: BUILDING PERMIT'APPLICATION Existing Use of Building: R-6\(kt --t Contract Price of Work:$ E9 :) t MM. Proposed - Proposed Use of Byrllding: Heat Source: ❑Gas ❑Electric ❑Other Building Type: SFR-Detached ❑SFFR-Attached ❑Duplex ❑Multi-Family-#of Units: ❑Commercial ❑Industrial Type of Project: ❑New ❑Addition IJRemodel ❑Repair DTI. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: N � [ve. Y 1rwnGS nd Ao Sal) auo i`-\-ake-^ CiAtvv\ . �I'1i11�DIAtrA,1N\ G f i C-e- • MoV& }12a MCAT Eg I?ZbM mareArr llrocr47"t a f ASSOCIATED BUILDING PERMIT#(if applicable): L.AU N Pity( R.d wt • MECHANICAL PERMIT APPLICATION `.. +.,.. k 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 A/C—Air Handling Units Heat Pump Toilet Backflow Preventer(Inside Bldg) Forced Air Systems Unit Heater Bathtub Urinal 1 Gas Piping Boiler Lavatory(Wash Basin) Drinking Fountain Water Heater Refrigeration Shower Floor Drain Gas Fireplace Wood Stove Kitchen Sink&Disposal Grease Trap 1 Gas Range Ducting Dishwasher Roof Drains Clothes Dryer Hookups Other: Clothes Washer Medical Gas Range HoodI J60 Water Heater Other: Exhaust Fan J Sink(Service/Bar/Mop/etc.) Other: SPRINKLER!.SUPPRESSION 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.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 1PERMIT it 0 ner/Authorized Agent Signature ate (Revised 9/23/2016)