3702 OAKES AVE 2019-02-12 - Laserfiche WebLink

PERMIT APPLICATION BUILDING/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 I(E)everetteps@everettwa.gov I www.everettwa.gov/permits (Blue or Black in only Pl isle) K.. , PROJECT SIT ;INFORM #�1ATIO 7 , ,. PROJECT SITE ADDRESS: J0Z. 001c, Av PROPERTY TAX#: LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION; , OWNER NAME: E 1 t t_ .-z 314 --1- TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET 37�2_.. f QAz') -Av. cITY STATE r V ZIP TO IAD OWNER PHONE: 1'I -3 - (Q OWNER EMAIL: CONTRACTOR NAME: 1 e r 1 t e• Cvie Sy CONTRACTOR ADDRESS: STREET s5bt. 3/' Akt Cp_.) A Q STATE i j a zip pg CONTRACTOR PHONE: CONTRACTOR EMAIL: CONTRACTOR LICENSE#(REQUIRED): I F Lq0 3 CITY OF EVERETT BUSINESS LICENSE#(REQUI D): PRIMARY CONTACT: 0 OWNER %CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: ti 7...5 . ((.i,.i, , (7 t (C„I� e CONTACT EMAIL .( BUILDING PERMIT APPLICATION : Existing Use of Building: A( y1/4_ k,p �� Contract Price of Work:$ 7) Proposed Use of Building: Heat Source: ❑Gas ❑Electric ❑Other Building Type: ❑SFR-Detached CS$FR-Attached ❑Duplex ❑Multi-Family-#of Units: ❑Commercial ❑Industrial Type of Project: kiew ❑Addition ❑Remodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: °�tI Y��w 4r1s tltsll�n�� , sq 5 PVal _ (.41cy• ASSOCIATED BUILDING PERMIT#(if applicable): 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 Fixtures Fixtures Fixtures A/C-Air Handling Units Heat Pump Toilet Backflow Preventer(Inside Bldg) I 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: SPRINKLER,!SUPPRESSION SYSTEM Chemical or Water r 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 properly 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– / /d Zs/i 7 PERMIT,* `O — 0(02Owner/Authorized Agent Signature ate (Revised 9/23/2016)