2413 STATE ST 2019-04-17 - Laserfiche WebLink

11/21/2017 TUE 11: 44 FAX Fast water Heater 1005/008 0384 PERMIT APPLICATION '� BUILDINGS I MECHANICAL /PLUMBING I SIGN/SPRINKLER I DEMOLITION ii CITY of EVERETT PERMIT SERVICES � �` 3200 CEDAR STREET,EVERETT,WA 98201 (P)428-2137-8610 I FAX 425-257-8867 I(E)everettepe�?evereltws.gov I www.everettwa.goV/psrmfts • (Blue or Mock Ink Onl Please PROJECT SITE INFORMATION .1.; PROJECT SITE ADDRESS: w 1413 T 4 IF-- 5"r PROPERTY TAX#: /057. , 3 1 r CO LEGAL for new construction: Short Plawsubotvtslon Lot No..__.., (attach copy of long legal description) , CONTACT INFORMATION OWNER.NAME: In KR/W i ST ACn 61,1 C)1 1 l coSTENANT NAME(If Commercial): OWNER MAILING ADDRESS: smut , �I. III�J' DDaril-T a S T L //)1 Q� Orn E_V ee PAW / 4 ziv 9 u U o I • OWNER PHONE: 4 6 5P Q 515 U OWNER EMAIL: --- CONTRACTOR NAME; flA ST knl Al S\, 1-k-e-_,k1-- '' - CONTRACTOR ADDRESS: 6TREET M".15 N3 Dieu_ c) \-1 $ 4t CA Me ' _ LI cnv • 11"1 L 1� STATE LIMA ' zip "9 01 1 CONTRACTOR PHONE: 2' 1o3U ,�4 CONTRACTOR EMAIL:p' (L�,UIQ IT S P' ,5A"(JI�Q rtl�.2Q . (,5'1) CONTRACTOR LICENSE#(REQUIRED):9[SI`ww"Q N S S� ^ urn,OF EVERETT 8UslNEss LICENSE#(REQUIRED)4J 3 PRIMARY CONTACT: 0 OWNER (CONTRACTOR 0 OTHER(Please Speotfy) —� CONTACT NAME: ` \ CONTACT PHONE; -1 as- L� 1gl/` K4 � * �� CONTACT EMAIL: p.�jf�,k-- _-AyCilka_ 1 oz),C, UM/) BUILDING PERMIT APPLICATION r-� u - 14rg Existing Use of Building: S " Contract Price of Work:$ p�q -l_�i„ Proposed Use of Building: SPe . - Heat Source: CtiOas ❑Electric ILIOther — - - BulldtnB Type: OFR-Detached ❑SFR-Attached_ I�Dupiex t�MUlt1-FamIy4#of UnIts: OCommerclal in industrial Type of Project: ONew ©Addition DReniodel XReVtr CIT.I.' CISIgn OSprinkler ODemoiltfon OChalie of Use DESCRIPTION OF WORK: f vv) Ov'e / e \ C *S w *-eiy V\c a'. ASSOCIATED BUILDING PERMIT#(If applicable);MECHANICAL PERIYIIT APPLICATION PLUMBING PERMIT APPLICATION Type of Projsat: _ New„_, Addn Alteration ^Jyepalr . - Type of Projeot: __New �ddn _ Iteretton Repair of #of . - #of----- -- #of Fixtures Llat'of Fixtures fixtures Lied of Fixtures List of FlxtUrea List of Flxtu.-a Fixtures Fixtures NC-.Alr Handling Units Haat Pump Toilet Backflow Prevente, nude Bldg) Forced Air Systems _ Unit Heater Bathtu I Urinal Gas Piping Boiler Lava • (Wash'Basln) ,Drinking Fo - :In Water Heater Refrigeration Show,r Floor D Gee Re,face Wood Stove Kltoh: Sink&Disposal T rap Gas Range Ducting _ Dishy'.sher R . Drains _ Clothes Dryer Hookups Other Clothes fisher edl - Gas A Range Hood . - Water He= =r Other: Exhaust Fan -- Sink(Servic= :_r/Mop/e.. Other: SPRIN,. ' . -NSSIOI S-1FS'li tM— - •: onkel or : ., • L•.Of Heads AOKNOWLEDGEMI NT..I have reviewed this application and confirm the Intonation contained herein la true end correct Work done pursuant lo Ihis permit must comply with currant federal*eta,end loos!law.The granting of a permit only aulhoriaea approved work and no doviatlons tharerrom.Daviatlons must first De eurhortead/n wilting from the Buffeting Official before being authorized under any circumstance.I em the owner,ori em authorized by the owner of this property to perform the work for which application le made, end I comply with the State Gontraero s Law T a27 ROW and 2ot/200A WAG. • Oily of Everett Official Use Only ..1, / ( - ( � - PERMIT;/ i, Own uthor za Ag Signature Date evse. : /2'