3010 NASSAU ST 2019-02-12 - Laserfiche WebLink

PERMIT APPLICATION ,ztizi BUILDING/MECHANICAL/PLUMBING/SIGN/SPRINKLER/DEMOLITION Ibirw. - CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET,EVERETT,WA 98201 A t ` (P)425-257-8810 I FAX 425-257-8857 1(E)everetteps@everettwa.gov www. ia11p I i's Pr �� + rf,o Up °` a a 'S n" iC "r'.h rty li 9z r^??i =31 ,rwt x, .1, 'Ttil#irtCr SWi OO MATroN, - I VVI i .. PROJECT SITE ADDRESS: 1O 1\1/13g1u Gam- PROPERTY TAX#:00Lt3-15- i�'-'V 60e LEGAL for new construction: Short Plat/subdivision �/ yJ Lot No. 'tJ (attach{ttcopy of long legal description) s"w F` _` CONTACT INFOR lIIAlTION ~ ; OWNER NAME: ri�((JI f J1J j �� TENANT NAME(If Commercial): OWNER MAILING ADDRESS: ttt STREE ai d- s�v ,(3-1-- CITY �' r�j STATE ZIP ��i 111 "��lll..JJJ OWNER PHONE: 5 - - ) .-5'4 OWNER EMAIL: CONTRACTOR NAME: 'Ue_ Flame� CONTRACTOR ADDRESS: STREET1 II f0 i' C Al---w #1 �j/ CITY �/ l STATE (A/ � ZIP ggag3 CONTRACTOR PHONE:1 7-71 - -71301 CONTRACTOR/�' EMAIL: CONTRACTOR LICENSE#(REQUIRED):5LUEF'FLf c35l/� CITY OF EVERETT BUSINESS LICENSE#(REQUIRED)0V7/0 PRIMARY CONTACT: 0 OWNER 'CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: q 15---F/-- --7 iyq' \;-01110 h l Wa (i, CONTACT EMAIL: //' J (7�? .ii a_ijm�-a��T�ap vin 3i i ,a ��a3�n*Mr — E., ��i V�,.i iii 91 ria k „ .,,,� ,.pro«�,:�. :,,�r�: n� o- i i ii �,-�Miii tlVVill �la� �`�i i i Iii `�9%i�Xk.�� r, v.§� �s> -, kf k rrr�ri �, 'V'a i le i rI t Iy�o1"ilR i 6 a'r'r. BUILDING PERMITA,PPLICA;.,IO .' i .'had , ,�'ipti , I a z , Existing Use of Building: Contract Price of Work:$ -71 OU 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 41rAddition ❑Remodel CI Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: /VC 1riSiacL ASSOCIATED BUILDING PERMIT#(if applicable): MECHANICAL \P"ERMIT APPLICATION' i, a s's..,�a,�,rrPLUMBI<!NG, PER IT APPLICATION , 'i"hy�'"<<ti' Type of Project: _New A'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 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: 905SPRINKLERi'I SUPPRESSION"SYSTEM , Number 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 .-w 18.27 RCW and 296.200A WAC. City of Everett Official Use Onl 4 / t�j, 6 PERMI k toc._. O�//� U awn: /, - LyTT*'"ignat # Date (Revised 0/12/2015)