4905 SEAVIEW WAY 2019-04-17 - Laserfiche WebLink

PERMIT APPLICATION BUILDING /MECHANICAL I PLUMBING /SIGN /SPRINKLER/ DEMOLITION 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 1 www.everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: 01,9‘9....5— PROPERTY TAX#:e2®?/7iik2=7Yee1®? LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: /e/e,79. 2-/".51.4-ye,. .49e'/ TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET CIN - - STATE ZIP OWNER PHONE: VZO6' . "Q.�D.5 OWNER EMAIL: CONTRACTOR NAME: 617".401- CONTRACTOR ADDRESS: STREET CITY STATE ZIP CONTRACTOR PHONE: CONTRACTOR.EMAIL: CONTRACTOR LICENSE#(REQUIRED): CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): PRIMARY CONTACT: 0 OWNER 0 CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: yet, ,S'171yfy. CONTACT PHONE: aO6 2.3/49 Z.?if' CONTACT EMAIL: 1,0'.fh t' 1/ 6e) /Lye,. ee ."7 BUILDING PERMIT APPLICATION Existing Use of Building: ,e4X ‘-)e ‘ "eve Contract Price of Work:$ h� Proposed Use of Building:-414/27) -,',04',/e50'"-z47' ?' Heat Source: ❑Gas ❑Electric ❑Other Building Type: ❑SFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family #of Units: ❑Commercial El Industrial Type of Project: ❑New ❑Addition ❑Remodel ❑Repair ❑T.1. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: L e.egez1^ 9� /;" fe-e--92 l . ©� R e << '"?f e i/ze sztr//1�� ASSOCIATED BUILDING PERMIT#(if applicable): `� >79/� MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION Type of Project: _New_ Addn _Alteration _Repair Type of Project: _New _Addn Alteration _Repair #of List of Fixtures #°f List of Fixtures #of List of Fixtures #°f List of Fixtures Fixtures Fixtures Fixtures Fixtures A/C-Air Handling Units Heat Pump LtZ Toilet Backflow Preventer(Inside Bldg) Forced Air Systems Unit Heater Bathtub--' '1 /r' Urinal Gas Piping Boiler Lavatory(Wash Basin) Drinking Fountain ,, Water Heater Refrigeration F/ Shower Floor Drain Gas Fireplace Wood StoveKitchen 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 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 property to perform the work for which application is made, and l comply with the State Contractors Law 18.27 RCW and 296.200A WAC. City of Everett Official Use Only PERMIT# Owner/Authorized Agent Si ure Date (Revised 9/23/2016) �/5,11LAr4E