2227 GRAND AVE 2019-03-22 - Laserfiche WebLink

08/21/2018 8:01AM FAX 4258818388 Alpine Roof Care Cj0002/0002 PERMIT APPLICATION BUILDING/MECHANICAL/ PLUMBING I SIGN/SPRINKLER/DEMOLITION 40'►' _ 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 `(6lne or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: '`p� t:7f a 9,. Gland pco e,, PROPERTY TAX#1 OS 43q I 4$7 Q 1H{ao LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT FOU�R..MATION • OWNER NAME: I a C_aG I&' W\ )\ TENANT NAME(If Commercial : OWNER MAILING ADDRESS: STREET as , C 1 V. ` t crrr (fes «ll 11 �� ` STATE . zlr t• OWNER PHONE:25f" (6.3.--CO 3(x, OWNER EMAIL: CONTRACTOR NAME: . ,t)‘‘'Ne, 'C nk. C -(' 1 NNi G CONTRACTOR ADDRESS: STREET VW). N& ,"i \ tp-Tr 1gbi CITYuN STATE 21P c1C 2_ CONTRACTOR PHONE: 1~I' - S D !CONTRACTOR EMAIL: art 5T t,,,�'Pe+ _ k 1`( CONTRACTOR LICENSE*REQUIRED): Pik?)N Oza )CITY OF EVERETT BUSINESS LICENSE#(RERED): 5 . PRIMARY CONTACT: ❑OWNER CONTRACTOR ❑OTHER(Please Speciry) CONTAOMCT NAME: �j� CONTACT PHONE: 4G3 —411— 28 Fif V`` ` 1S1N . CONTACT EMAIL:ani t��'1;!e, i k# a lir*r`+RA I Lone\ 1 • BUILDING PERMIT APPLICATION 1 ExistinUse of Building: Contract Price of Work:$ 1/4a + Proposed Use of Building: Heat Source: ❑Gas ❑Electric ❑Other Building Type: ❑SFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units: LiCommercial ❑Industrial Type of Project: ONew ❑Addition ❑Remodel ❑Repair IIT.!. ❑Sign ❑Sprinkler IJDemolition ' OChenge of Use. DESCRIPTION OF WORK: Weiyob cns .g i\J Dci c-06n - -d Lculimaa ASSOCIATED BUILDING PERMIT 41(if applicable): C—MP MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION Typo of Project: _New _ Addn _Alteration _Repair Type of Project: _New _Addn _Alteration ,Repair #of List of Fixtures #of #of #of Fixtures Fixtures l hat of Fixtures Fixtures List of Fixtures Fixtures Llai cinctures WC-Air Handling Units Heat Pump Toilet Baokfow Preventer(inside Bldg) Forced Air Systems Unit Heater Bathtub Urinal Gas Piping Boiler Lavatot r(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: 1 SPRINKLER/SUPPRESSION SYSTEM Chemical or Water I No.of Heads ACKNOWLEDGEMENT,:f have reviewed this application and confirm the information contained herein is true and correct.Work done pursuant to this permit muni oomph,with Ourrent federal,stet,,end local law,The panting of a permit only suthorit:es approved worn end no deviations therefrom.Deviations must first be authorized in writing from the Bulid! Official before being authorized under any circumstance.tam the owner,or I em authorized by the owner of this property to perform the work Por which application Is made, and co y w' :State Contractors Law $2r-CW .290,200A WAC. / I City of Everett Official Use 0 ly -dal _ IA .A iJ2S) PER f� Dg___owner/Aut or ze• Ago-Signatur ar Dat (Revised 9/23/2018)