5522 PARKVIEW LN 2019-04-29 - Laserfiche WebLink

PERMIT APPLICATION BUILDING/MECHANICAL/PLUMBING/SIGN/SPRINKLER/DEMOLITION /ji► CITY OF EVERETT PERMIT SERVICES ..,7 ' 3200 CEDAR STREET,EVERETT,WA 98201 (P)425-257-8810 I FAX 425-257-8857 1(E)everetteps@everettwa.gov I www.everettwa.gov/permits (Blue or Black Ink Only.Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS:5rJ— a) Parr-V L I a;1 PROPERTY TAX#: LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) t. CONTACT INFORMATION OWNER NAME:-TY�y 4- hat r/ WOO CiaidENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET ,T -d��o. p n, k LI L lJ� _44. .,_. n cnY e_t)t,r STAT at ZIP q OWNER PHONE: Lido,/}• S6Thq . c -Li414 OWNER EMAIL: �/ CONTRACTOR NAME: / I/SY-G S v7 -,-.1-ea�1 p- . - / r--- CONTRACTOR ✓CONTRACTOR ADDRESS: STREET I-1 `"? / -) 75 - �?/Z tri cm / a r,1 yI le STATE Ca.- ZIP a. 6 CONTRACTOR PHONE: -f)-j —3 5 L -�- . CONTRACTOR EMAIL: /1 fcl SIY l'im�a 77Y el i„ )t 1- 7 d �U s CONTRACTOR LICENSE#(REQUIRED): l )Y 1 h R-s TSU) CITY OF EVERETT BUSINESS LICENSE#(REQUIRED)CA/P•7e/ PRIMARY CONTACT: CI OWNER CONTRACTOR 0 OTHER(Please Specify) CONTACT/NAME: (t,, )) CONTACT PHONE: �I��-- L � —4'&9-9 p"�J�- a 6d ik Y Y.3%C) CONTACT EMAIL:ia6 1 C-%,?Y)�')r �+�6�i`J7"r,}e- BUILDING PERMIT APPLICATION Existing Use of Building: Contract Price of Work:$ 4 Proposed Use of Building: Heat Source: Gas ['Electric DOther Building Type: I FR-Detached ❑SFR-Attached ODuplex ❑Multi-Family-#of Units: ['Commercial ❑Industrial Type of Project: ❑New (Addition ❑Remodel ❑Repair OT.I. ❑Sign ['Sprinkler ❑Demolition ['Change of Use DESCRIPTION OF WORK: y} et an I07 te-- - • ASSOCIATED BUILDING PERMIT#(if applicable): MECHANICAL PERMIT APPLICATION' PLUMBING PERMIT APPLICATION Type of Project: _•New Addn Alteration Repair Type of Project: New Addn _,,,Alteration _Repair #of List of Fixtures #of List of Fixtures #°f List of Fixtures #°f List of Fixtures Fixtures Fixtures Fixtures Fixtures / A/C—Air Handling Units Heat Pump Toilet Backflow Preventer(Inside Bldg) Forced Air Systems Unit Heater Bathtub Urinal Gas Piping Boiler Lavatory(Wash Basin) Drinking Fountain Water Heater Refrigeration Shower Floor Drain Gas Fireplace Wood Stove Kitchen 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 1 SUPPRESSION SYSTEM (Chemical or Water 1 !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.lam 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. Cityof Everett Official Use Only © `Own1-\i' lAik_ PERM Il O 11..,, 02 ,---- Owner/Authorized er/Authorized Agent nature Date (Revised 9123/2016)