3409 NASSAU ST 2019-02-12 - Laserfiche WebLink

4E7TPERMIT APPLICATION BUILDING / MECHANICAL I PLUMBING /SIGN /SPRINKLER/ DEMOLITION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET,EVERETT,WA 98201 (P)425-257-8810 I 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: 31-1 o q fu ce S. 4u s. r PROPERTY TAX#: ©C�O y 3 ?5 2'7Z 0 05-0 D LEGAL for new construction: Short Plat/subdivision Lot NS:,"(,.4ttach copy of long legal description) CONTACT INFORMATION OWNER NAME: .1314.,` ).‘e e-o)'e.rfi S TENANT �NAME(If Commercial): OWNER MAILING ADDRESS: STREET 3 9©q aCcSSG u S / - . coy & Vsere // STATE A - ZIP ? .10/ 10/ OWNER PHONE: (o(� 3- s�v�i OWNER EMAIL: I J Cob W -1g c� ""4-411'i. 64/1"-1 CONTRACTOR NAME: Cv t/`G .0)e cj G k e CDA J+rV G I`t� J CONTRACTOR ADDRESS: STREET °" 4'V v � 6 • 11J/� / CITY Letlf.C,� g,6 STATE 1 (j 0 " IA IZ Pg CONTRACTOR PHONE: et C) 445--c, 1CONTRACTOR EMAIL: .L GSC a,ke e infoVef,c415 g N^G;).CD�1 CONTRACTOR LICENSE#(REQUIRED): BL r!C)l'H 1 *52 be) CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): "1 ql PRIMARY CONTACT: 0 OWNER 0 CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 3(.4,Q n. t 3 ' O CO CONTACT EMAIL: BUILDING PERMIT APPLICATION Existing Use of Building: Contract Price of Work: '©(7 0.,�- Proposed Use of Building: Heat Source: I Gas •Electric a Other Building Type: ❑SFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units: ■'ommercial ❑Industrial Type of Project: ❑New ❑Addition ❑Remodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demo ition ❑Change of Use : DES RIPTION OF)WORK: ge ,,'6orc-ekerea 5 e I6 a,/ C et Dam; "t k e.ce/ ,P.41 `^-1 */t `‘� '� ,:n/ cdf1/PLt�l1S L1�v�r149S v)GI 14r� A eer 1avt 5', y'Zevi—'ot e ��0' 4e'etr; 4. w4/1 C"" '4'7.5 iO0t bP 1Gt�22✓4 }L:+Gl1ei� C.r,� Giikn,, r6v/0 ASSOCIATED BUILDING PERMIT#(if applicable):bl MECHANICAL PERMIT APPLICATION 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 Fixture Fixtures Fixtures A/C—Air Handling Units Heat Pump Toilet •ackflow 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&Dispos,,, Grease Trap Gas Range Ducting Dishwasher Roof Drains Clothes Drye ookups Other: it Clothes Washer Medical Gas Range How. Water Heater Other: Exhaust .-n Sink(Servi -/Bar/Mop/etc.) Other: SPRINKLER/SUPPRESSION SYSTEM Chemical or Water I No. of Heads ACKNOWLEDGEMENT.'I have reviewed this application and confirm the information contain=-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 properly to perform the work for which application is made, and 1 co p with the State Contr. 'Law 18 RCW and 296.200A WAC. City of Everett Official Use Only / ya?,/, ,,-- PERMIT4V2) SOwner/ thor- d Agent Signature te (Revised 9/23/2016)