1910 RAINIER AVE 2019-04-29 - Laserfiche WebLink

PERMIT APPLICATION Ism BUILDING/MECHANICAL/PLUMBING/SIGN/SPRINKLER/DEMOLITION -, 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 J www.everettwa.gov/permits (Blue or Mack Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: o//j7 K //V l A UC, PROPERTY TAX#: O 35-i-g-Sa 2-700 LEGAL for new construction: Short Plat/subdivision Lot No_i-7M(attach copy of long legal description) CONTACT INFORMATION. OWNER NAME: (,()/LL!/k AA (01...5 TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET /9/d /�glet((A.)i LE ,1-(/L cUY I V C/C (i 7 STATE ( �- nP LO/ OWNER PHONE: 4'Zg--Z319 OWNER EMAIL: t,iJILG/,a., / i.//f)Kit.fr too (0/v1 CONTRACTOR NAME: Pt/6677 500/U0 (;/}s GUo,PKS CONTRACTOR ADDRESS: STREET / 3/� 7 0 L, ` -1 a �7, (5, t�, j /� �j� CITY 5/''O� I5 STATE 113 Tl ,,` ZIP /7S Zq CONTRACTOR PHONE: 4'Z - 3 cej-506 `CONTRACTOR EMAIL: f26q ( 4 s. co.,- CONTRACTOR LICENSE#(REQUIRED):RI() -j �jc///( CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): Z/ PRIMARY CONTACT: ,OWNER 0 CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: Z�-e./ tM3g/ �g/q w/�/ 0 ,56/V. CONTACT EMAIL: WLL/ . G ,70 a/71410ATeJAI BUILDING,PERMIT APPLICATION o Existing Use of Building: j re Contract Price of Work:$ IDDO, Proposed Use of Building: (Fie f M A?7' 12.6-5106-"(c6- Heat Source: ISGas J.Electric ❑Other Building Type: ISFR-Detached ❑SFR-Attached ❑Duplex ❑Mufti-Family-#of Units: ❑Commercial ❑Industrial Type of Project: ONew ❑Addition KIRemodel ❑Repair ❑T.1. ['Sign OSprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: A6 A- GL tA-) O K< TGg 2V' /eA /066 ASSOCIATED BUILDING PERMIT#(if applicable): MECHANICAL PERMIT APPLICATION PLUMBING.PERMIT,APPLICATION Type of Project: _New _ Addn 4_Alteration _Repair Type of Project: _New _Addn Alteration _Repair #of Fixtures List of Fixtures Fixtures List of Fixtures Fixtures List of Fixtures Fixtures List of Fixtures NC-Air Handling Units Heat Pump Toilet Backflow Preventer(Inside Bldg) Forced Air Systems Unit Heater Bathtub Urinal e011 ) 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 I 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 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 1 compty with the State Contractors Law 18.27 RCW and 296.200A WAC. City of Everett Official Use ly i� e gli /Z0 h9 PERMIT/, Otc(c.--,()5--- . OwneriAuthorized Agent Signature l9ate (Revi 9232016)