Laserfiche WebLink
Nov 23 2018 09:54AM Washington Vii Heaters 8663757454 p. 1 <br /> 471- PERMIT APPLICATION <br /> BUILDING I MECHANICAL I PLUMBING I SIGN I SPRINKLER/ DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET,EVERETT,WA 98201 <br /> (P)425-257-8810 I FAX 425-257-8857 1(E)everetteps@everettwa.gov 1 www.everettwa.gov/permits <br /> (Blue or Black Ink Only Please) PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS:14 ve*�.) ? E-.Re., DV— !PROPERTY TAX#: Q1 U 710— <br /> LEGAL for new construction Short Plat/subdivision Lot No <br /> (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME: Yu j ti b'tr� p TENANT NAMEj (If Commercial): <br /> OWNER MAILING ADDRESS: STREET y35 -\i i e� pe . <br /> CITYSTATE coZIP ci g'dUS <br /> OWNER PHONE: --,a" acik.a !OWNER EMAIL: <br /> • <br /> CONTRACTOR NAME; was 1 A!orre: w 6.---r--6-1L 1---1-&447-6-1?-5 <br /> CONTRACTOR ADDRESS: STREET ! f 2 (a,, Loi 4.-r 5' - PG iDX�/ [ <br /> /2 ? <br /> � <br /> .- Crry W /' 1 STATE VIA- ZIP (kV ss <br /> CONTRACTOR PHONE: 4Z' —g-g3— L/'g'7/ 'CONTRACTOR EMAIL: (4J4 {fj/- (/-LC.°6/146(LI CCr <br /> CONTRACTOR LICENSE#(REQUIRED): i '/ -I 1"tlgi,jp CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 0 ?Wei <br /> PRIMARY CONTACT: 0 OWNER CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT( (NAME,;, <br /> /4ME �I r� ( CONTACT PHONE: C12 r ' . _.�8 7/ <br /> V_- _"r V!J+1(i(S CONTACT EMAIL: (,(�i}.t,(/, ! <br /> SIL��E 424-11_•(evil <br /> BUILDING PERMIT APPLICATION <br /> Existing Use of Building: eSlc iP,[di(-LA Contract Price of Work:$ t 9Lg3/ Wa <br /> Proposed Use of Building: Heat Source: Gas DElectric Dot <br /> (ter <br /> Building Type: DSFR-Detached OSFR-Attached ODuplex DMuiti-Family-#of Units:_ DCommercial Dindustriai <br /> Type of Project: ['New DAddition DRemodel DRepair DT.I. ❑Sign DSprinkler DDemotition DChange of Use <br /> DESCRIPTION OF WORK: <br /> A/W/AL Catalt6L I 0 ai) ‘U0 ' /11 glieS) <br /> ASSOCIATED BUILDING PERMIT#(if apFlicable): <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type of Project: New _._ Addn Alteration Repai y� �ti <br /> p Type of Project: New `Addn Alteration Repair a' %77 <br /> #of List of Fixtures #of #of <br /> Fixtures Fixtures List of Fixtures List of Fixtures #a/ List of Fixtures <br /> Fixtures Fixtures <br /> 'NC—Air Handling Units Heat Pump Toilet _Backflow Preventer(Inside Bldg) <br /> Forced Air Systems Unit Healer BathtubUrinal <br /> _ Gas Piping Boiler Lavatory(Wash Basin) Drinking Fountain <br /> Water Heater Refrigeration Shower <br /> Gas Fireplace — I Floor Drain <br /> p Wood Stove Kitchen Sink&Disposal 1 Grease Trap <br /> Gas Range Ducting Dishwasher Roof Drains <br /> Clothes Dryer Hookups Other: .Clothes Washer Medical Gas <br /> Range Hood Water Heater Other: <br /> Exhaust Fan _ Sink(Service/Ear/Mop/etc.) • Other: <br /> SPRINKLER 1 SUPPRESSION SYSTEM <br /> INumber of Heads - <br /> ACKNOWLEDGEMENT-I have reviewed this application and comm,the information contained herein is true and correct. Work done pursuant to this permit must comply with <br /> 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 <br /> Building Official before being authorized under any circumstance,I em the owner,or 1 am authorized by the owner of this properly to perform the work for which application is made. <br /> and I comply with the Stale Con!ractors Law 18.2 W end 296.205A WA C. <br /> City of Everett Official Use Only <br /> ( ) a I'' 2 /t'/ PRMIT/ <br /> wnedAuthorized Agen Signature t r J( f!i I, I 1— Ogf—' <br /> Date V (Revised 5/20/2016)�fV � <br />