1007 OAKES AVE 2019-04-29 - Laserfiche WebLink

PERMIT APPLICATIOI— BUILDING /MECHANICAL/PLUMBING /SIGN /SPRINKLER/DEMOLITION di";illjPP'HIIIIIIWi 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 (Blase or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: 1 � ,---2 Q evk S 'Nut__ PROPERTY TAX#: LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: TENANT BUSINESS NAME(Commercial): OWNER MAILING ADDRESS: STREET CITY STATE - ZIP OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME S SSP (e i-,C CONTRACTOR ADDRESS: STREET T)� O r.3 0 1(, 'LW k CITY I , \C,C.a.e jJji1 STATE ZIP C12 S CONTRACTOR PHONE: IR'1-43$-(73g CONTRACTOR EMAIL: E'jvk�SvkSe efec4-vc` Q Lu , cat. CONTRACTOR LICENSE#(REQUIRED): tilc 4 SS c(a3 fl(3OS-4-5S-7/CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): PRIMARY CONTACT: 0 OWNER 0ZN RACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: ^ 1--i'%. g7-3 ,S (.),13L)-e_._ S.-\,,,,, O a CONTACT EMAIL: BUILDING INFORMATION Existing Use of Building: ,„..,(,<. IA,-‘ (.7 Contract Price of Work:$ 7-. PC Proposed Use of Building: Heat Source: ❑Gas ❑Electric ❑Other BUILDING USE: ❑SFR ❑Townhouse 0 Duplex ❑ADU ❑Multi-Family-#Units: ❑Commercial ❑Accessory Structure Type of Project: El New ❑Addition ❑Remodel BR pair DTA. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: 6,41 ccvvc.�- , 7 S ' /1 no m, k-- —Clic- t _ S a "(NW'N (17)<-1'°'S`(17)<-1'°'S`'``y -L nQ_k-..J a-p 011- `" r-IC.vClAAl & ^ eleA-tupek'i51l4) f-. a IC/- ASSOCIATED BUILDING PERMIT#(if applicable): MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION Fixture Fixture Fixture Fixture count List of Fixtures count List of Fixtures Count List of Fixtures Count List of Fixtures NC-Air Handling Units Gas Piping Backflow Preventer(Inside Bldg) Shower,Tub,or Combo Boiler Gas Range Clothes Washer Sink-Commercial(3-comp,prep,floor) Clothes Dryer Heat Pump&Ductless Dishwasher Sink-Residential(kitchen,bath,bar) Duct System(Remodel) Refrigeration Drinking Fountain Sink-Utility,laundry,mop Exhaust Fans(Residential) Commercial Ventilation Floor Drain Toilet Exhaust Hood(Type I) (Not Heat/AC system) Hose Bibb Urinal Exhaust Hood(Type II) Water Heater Interceptor-Grease Waste/Water Piping Repair Exhaust Hood(Residential) Wood Stove Interceptor-Sand/Oil Water Service(behind meter) Forced Air Systems Other: Medical Gas Water Valves or Fixtures Gas Fireplace/Insert/Log Roof Drains Water Heater SPRINKLER/SUPPRESSION SYSTEM Sewage Ejector or Sump Pump Other: Chemical or Water I 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 a horiz-.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 I comply with 'late ,1 tractors Law 18.27 RCW and 296.200A WAC. I r 11 PERM City of Everett Official Use Only I.// Z - ' /I O ' 0LI g uthorized Ag-nt Signature Date (Revised 10/10/2018)