800 GRAND AVE 2019-03-21 - Laserfiche WebLink

01/03/2018 WED 12: 24 FAX Fast Water Heater 2011/012 I PERMIT APPLICATION • - BUILDING 1 MECHANICAL/PLUMBING /SIGN 1 SPRINKLER 1 DEIVIOLITION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET,EVERETT,WA 98209 (P)428.267.8810 I FAX 425-257-8857 I(E)eversttspatgeverettws.gov J www.everetlwa.gov/permits (Blue or Black Ink Only Pleas! PROJECT SITE INPORMATION ., PROJECT SITE ADDRESS: 61 C PROPERTY TAX#: pg 051 O0 ,', 4( LEGAL.for new conetruotlon: Shari Plauatbdlvlslon Lot No, (attach copy of long legal description) 11 CONTACT INFORMATION • OWNER NAME: / ',L Ill TENANT NAME(If Commercial); OWNER MAILING ADDRESS; moor n b l3 D Ji.)E` - . CITY STATE IA j ZIP 11 396 / OWNER PHONE: vl, 9-a5� ,3 Lir OWNER EMAIL: ---- - CONTRACTOR NAME; fp‘S 1 v)Ai e.YZ_ i-F'�/kT QC,. ��}}} r / CONTRACTOR ADDRESS: &mer { 1 "J tJ C Q .a � S / y/�{ (�/y� /Y�n cfTY Z 0 Il��. 6TA16 ( JJ J ZIP I L? V 11 CONTRACTOR PHONE; "l25 lo..31., 1M CONTRACTOR EMAIL:FV.°VII as 0 5-l-W( Ji', (,oj CONTRACTOR LICENSE#(REQUIRED):VI.51- jVO t1513G CI'T'Y OF EVERE'i•T'BUSINESS LICENSE#(REQUIRED 5D 453 PRIMARY CONTACT: D OWNER Lm.CONTRACTOR ©OTHER(Please Specify) Y - ,• CONTACT NAME: CONTACT PHONE: i ,p ftl �N'U- CONTACT EMAIL: 'Q-i1(iNk.l-t5 ' - 5904)(- re4 CVVI BUILDING PERMIT APPLICATION 14. Existing Use of Buifdin9: ar, n V Contract Price of Work:S.,,,,,,,,2";(2 ,_______,.___`7 Proposed Use of Bulidll ; Heat Source:0Gas DElectrlc ❑other ..*- Building Typs:CEISFR:Detached hSFR-Attached dDuplex IJMultl-Family-#of Unita:___ hlCornmerclel• Cllndustrial Type of Prooect: ONew ©Addition ❑Remodel Repair OT.I.' Dsign OSprinkler ❑Demolltlon ❑Chale of Use DESCRIPTION OF WORK: vin Dv.0l Y eQ\AC , Giel--S w a- -e'r e a.--tASSOCIATED BUILDING PERMIT#JI!applicable): . - MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION Typo of Project: _New Addn _Alteration Repair Type of Project: •New _Addn ,_,Alteration ___Repair of Llst of Fixtures le List of Futures #of T List of Fixtures #°f List of Fixtu , Fixtures Fixtures Mame Futures AIC—Air Handling Units Heat Pump Toilet Backflow Proven :Inside Bldg Forced Air Systems _ Unit Heater Eats Ib Urinal • Gas Piping Boller L. :to - Wash Basin Drinkin: Fo '•:In IPWater Heater - Refrigeration .hewer oor Dr- Gas Fire.lace Wood Stove ' lichen Sink&Dia.0eal O - ra. Gas Range Ducting Dishwasher . R• 'ralne Clothes Dryer Hookups • Other: clothes Washer °dice as Renee Hood I-- ter Heater Other: - \ Exhaust Fen Sin Service/Bar/Mon/etc Other: SPRIN.. .. - - - -EIISSlO - • '-M r emical or = _ ' •,of Heads ACKNOVVLEDGEMIeNT.•t have reviewed this appiloal/on and confirm the information conte/ned herein is true end correct Work done pursuant to this permit must comply with current federal,state,end local law.The grenUng of a permit only authorizes approved work and no deviations therefrom.Pevlet/ons must first be authorized In writlpg from the Su!!ding Official before being authorized under any circumstance.I em the owner:ori am authorized by the owner of this properly to perform the well:for which application Is made, and I comply with the State Contractors Lew 18.27 ROW and zsa2a0A WAC. City of Everett official use only JWL ' I- c 3.—, PE` . vcm on- .4 -Own uthor ze Ag Signature Date (Rm'l ed 0/2$/2098) 1•