4718 HARBOR LN 2019-03-22 - Laserfiche WebLink

• PERMIT APPLICATION BUILDING/MECHANICAL I PLUMBING I SIGN/SPRINKLER 1 DEMOLITION • AV CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET,EVERETT,WA 98201 (P)425-257-8810 1 FAX 425-257-8857 1(E)everetteps@everettwa.gov I www.everettwa.gov/perrnits v .::�,PROJECT SITE INFORMATII.ON ...:: _ EZ PROJECT SITE ADDRESS: /2 4,9 eat t /U PROPERTY TAX#: , LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) < U_. .::,CONTACT iNFORMfftij .,.,,, ... .,,,. MM OWNER NAME: TEFF an 7 EyJ '/ TENANT NAME(If Commercial): I� OWNER MAILING ADDRESS: STREET 47f2 )f/0`t) L. 4/ E V 1 Ir 7 T7- CITY STATE W ZIP 9j20, OWNER PHONE: Lilac...........,._ ..c..0767,. OWNER EMAIL: L CONTRACTOR NAME: WO t fF 11/497---e-g. I,e.../7 r/4 `4 CONTRACTOR ADDRESS: STREET I( 3`f 20 , 1 J9VE (-I/P. ?Ja WIn/o CITY STATEWPI ZIP7? CONTRACTOR PHONE: ,L S 7�Jy �` O 72-7 CONTRACTOR,//fEMAIL: //y� #4/OL � �fff 4 ftfr LLc� CONTRACTOR LICENSE#(REQUIRED):.L�! W O I "4 CITY OF EVERETT BUSINESS LiCENSE#(REQUIRED):pii 932, PRIMARY CONTACT: ❑OWNER I6 NTRACTOR 0 OTHER(Please Specify) CONTACT NAME:/, {, CONTACT PHONE: If 2 I �5 IF C j'Z 7 /C O/t ©1j ft CONTACT EMAIL: /� k, /) &lo jse,- b ,cy ,€t ,e ::w ,.: ,. ._.: ProtaDING,'PERMITAPPLICATION. .: _. .x. .::. .._... Existing Use of Building: Contract Price of Work:$ it c-5b• Proposed Use of Building: Heat Source: ❑Electric ❑Other Building Type: ❑SFR-Detached ❑SFR-Attached ODuplex ❑Multi-Family-#of Units: ❑Commercial Et Industrial Type of Project: ❑New DAddition CI Remodel El Repair ❑T.I. ❑Sign ❑Sprinkler El Demolition ❑Change of Use DESCRIPTION OF WORK: kr/It-46E S-J 64s Gvo IiA . Higev%Fle- ASSOCIATED BUILDING PERMIT#(if applicable): MECHANICAL PERMiT APPLICATION_ _ ,__ .', , ,,, PLUMBINGiPERMiT7APPL`1CATION___,.; „. _; Type of Project: New_ Addn Alteration _Repair Type of Project: _New Addn Alteration _Repair #of #of #of #of Fixtures List of Fixtures Fixtures List of Fixtures Fixtures List of Fixtures Fixtures List of Fixtures A/C—Air Handling Units Heat Pump Toilet Backflow 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&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/SUPPRESSOON.SYSTEM r I, Number 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 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.lam 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 :w 18.27 RCW and 296.200A WAG. City of Everett Official Use Only ig�/ / PERMIT# l g 00 Owner/Authoriz•dAgent ignatu Date (Revised 10/12/2015)