6001 PEBBLE PL 2019-04-29 - Laserfiche WebLink

� I► PERMIT APPLICATION ',, BUILDING / MECHANICAL/ PLUMBING /SIGN /SPRINKLER/ DEMOLITION 1 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 (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: ;;-,,:),P f ') eip1 PROPERTY TAX#: B e/'7.!e-e/)10 I ex, LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: tills:-1U _ TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET 601/ fly PI CITY /✓ �/�j'/ STATE Waal- ZIP 174777 OWNER PHONE: IOWNER EMAIL: CONTRACTOR NAME: 4i/ �.,� 1 itli, CONTRACTOR ADDRESS: STREET 6,4 4 A/t /5-11-1- CITY rl,A -.JIrl 1 STATE p -1y�/4" ZIP [,O z1 It y CONTRACTOR PHONE: i! %1 CONTRACTOR EMAIL: a ll44 ,sJ All 11 �.7 CONTRACTOR LICENSE#(REQUIRED): , LL.WJE it $.,/ 1 0 CITY OF EVERETT BUSINESS LICENSE#(REQUIf2ED): . � T PRIMARY CONTACT: 0 OWNER l eCONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: ,j CONTACT PHONE: V� ,,lf —1 $. 4 r CONTACT EMAIL: r .d `~ a F BUILDING PERMIT APPLICATION Existing Use of Building: 5 I Contract Price of Work: 'Z1 COD Proposed Use of Building: ,S i� Heat Source: ❑Gas DElectric ❑Other Building Type: ❑SFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units: ❑Commerc. I ❑Industrial Type of Project: El New ❑Addition ❑Remodel ❑Repair DTI. ❑Sign ❑Sprinkler Demolition ange of Use DESCRIPTION OF WORK: re'TGPe-Mit '$ t / ` l'ee. ". 4. A 1 G'' S 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 NC–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/SUPPRESSION SYSTEM 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 ,• -- • -=r an 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 .- : -e Cont- • aw 7 RC W and 296.200A WAC. ''"— City of Everett Official Use Only 4glieif>' PERMIT 44.1511K 11161LA - ilikvarnu � - `1 � 1-i - � 11 ( Or ` 02i Owner/Authorized Agent Signature Date (Revised 9/23/2016)