719 OLYMPIC BLVD 2019-04-29 - Laserfiche WebLink

PERMIT APPLICATIO BUILDIN(�CHANICAL/ PLUMBING /SIGN MRINKLER I DEMOLITION '111/44117:1CITY OF EVERETT PERMIT SERVI ' ' J 3200 CEDAR STREET, EVERETT,WA 98201 (P)425-257-8810 I FAX 425-257-8857 I(E)everetteps@everettwa.gov www.everettwa.gov/permits .zy PROJECT SIT,EzRINFORMATION PROJECT SITE ADDRESS:, 7 cyoot''It t� 3it<a, PROPERTY TAX#: 006061 ©000010 LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) ,`' r_CONTACT INFORMATION �' OWNER NAME: ERI C- S HR CYTENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET 1 O J3O x 841.2 A p��qq CITY V R STATE LAIR-,- ZIP R�7z06 OWNER PHONE: 1-126' — Zp 5 OWNER EMAIL: )C c,,5 K.„4". fa441 ert covet CONTRACTOR NAME: (,1)A)& R CONTRACTOR ADDRESS: STREET CITY STATE ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: CONTRACTOR LICENSE#(REQUIRED): CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): PRIMARY CONTACT: XOWNER 0 CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: L LL�i./ 2.0 5 r�-� E g1 S N.ROYe CONTACT EMAIL: 1�ktets)s @ ` -i.t e r c- -11 � �. r, fit � � �✓�-`�� - =: BUILDING-PERMIT APPLICATION r . Existing Use of Building: ' Aide �e �iu�t I�� Res Contract Price of Work:$ 96:))6O0 Proposed Use of Building: 54-041 Heat Source: Sas ❑Electric ❑Other Building Type: ❑SFR-Detached SFR-Attached ❑Duplex ❑Multi-Family-#of Units: ❑Commercial ❑Industrial Type of Project: El New ❑Addition ORemodel ❑Repair DTA. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK:A//w ry �1t ) ��1G ,,,(_�;�� 514e 5 ri ASSOCIATED BUILDING PERMIT#(if applicable): MECHANICAL'PERMITAPP4ICATION PLUMBING PERMIT APPLICATION', „ „ Type of Project: _New _ Addn Iteration iCRepair Type of Project: _New _Addn XAlteration _Repair . #of List of Fixtures #of List of Fixtures #of List of Fixtures #of List of Fixtures Fixtures Fixtures Fixtures Fixtures A/C—Air Handling Units Heat Pump 1 Toilet Backflow Preventer(Inside Bldg) I Forced Air Systems Unit Heater I Bathtub Urinal Gas Piping Boiler 3 Lavatory(Wash Basin) Drinking Fountain J Water Heater Refrigeration 1 Shower Floor Drain Off_ Gas Fireplace Wood Stove / Kitchen Sink&Disposal Grease Trap Gas Range Ducting t Dishwasher Roof Drains 1 Clothes Dryer Hookups Other: I Clothes Washer Medical Gas Range Hood [ Water Heater Other: Exhaust Fan I Sink(Service/Bar/Mop/etc.) Other: SPRINKLER I SUPPRESSION SYSTEM , , ,,,,;' (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 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 I comply with the State Contractors Law 18.27 RCW and 296.200A WAC. City of Everett Official Use Only PERMIT i ' /! ot_� / l l C� Owner/Authorized A. t Sign.alle Date (Revised 10/12/2015)