1002 NORTH PARK DR 2019-02-12 - Laserfiche WebLink

4:477. PERMIT APPLICATION BUILDING/MECHANICAL/ PLUMBING/SIGN I 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 I www.everettwa.gov/permits PROJECTSITEINFORMATION ,, , PROJECTr I�EDADDR)=5p�r/I 41 0' PROPERTY TAX#: LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) .,. ...,':CONTACT INFR OMAt0N' :. OWNER NAME: Weg0y/l/f� h,,,,f TENANT NAME(If Commercial): OWNER MAILING ADDRESS: ST EET 34 le, ''// crry��_r p reit STATE /AM ' ZIP % e V3 OWNER PHONE:// 5' 010, OTw...... OWNER EMAIL: ...h l k-,,'.?g..elm..., J/iCo ...... /. G/...V... ... CONTRACTOR NAME: �� CONTRACTOR ADDRESS: STREET CITY STATE ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: CONTRACTOR LICENSE#(REQUIRED): CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): PRIMARY CONTACT:,OWNER 0 CONTRACTOR ❑OTHER(Please Specify) / CONTACT NAME: /p�,) / CONTACT PHONE: ,yo''490-59 7 i(I''i `91 CONTACT EMAIL: h/J,/�rIl/ L�. �/ Cbl la ,,..,..e a „BOOMING:PERlVI1T,APIRKWATION , ., t^ Existing Use of Building: Contract Price of rk:$ e"--------- Proposed Use of Building: Heat Source: Gas DElectric ❑Other _---) Building Type: ❑SFR-Detached ❑SFR-Attached ODuplex ❑Multi-Family-#of Units: ommercial ❑Industrial Type of Project: ❑New ❑Addition ❑Remodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: k OC-Art-A--C..-6, ,f5‘_,. .01-1-4-P...A.____ ASSOCIATED BUILDING PERMIT# licable if applicable): ( pp ) Us MECHANICAL PERMIT,APPLICATION, PLUMBING PERMITAPPL1CATION. `_ Type of Project: New _ Addn Alteration Repair Type of Project: New Addn Alteration Repair #of List of Fixtures #°f List of Fixtures #°f List of Fixtures #°f List of Fixtures Fixtures Fixtures Fixtures Fixtures i NC—Air Handling Units Heat Pump Toilet Backflow Preventer(Inside Bldg) Forced Air Systems Unit Heater Bathtub Urinal Gas Piping Boiler ' „9.. 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: r SPRINKLER"1 SUPPRESSIOICSYSTEM;:, ,. !Number of Heads v 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 onty authorizes approved work and no deviations therefrom.Deviations must first be authorized In writing from the Building Official before being authorized under any circumstance.1 am the owner,or lam 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 o,.AOwAut �ed ature Veae/19 PE Rev295� � 01 D