Laserfiche WebLink
#114/PPERMIT APPLICATION <br /> BUILDING —=CHANICAL/PLUMBING/SIGN/IIIIINKLER/DEMOLITION <br /> CITY OF EVERE PERMIT SERVIC - <br /> 3200 CEDAR STREET,EVERETT,WA9E1 <br /> (P)425-257-8810 I FAX 425-257-8857 1(E)everettepsgeverettwa.gov 1 wwweverettwa.govipermits <br /> PROJECT SITE ADDRESS:jOOl Rvc ICA e_tort.- PROPERTY TAX*: 00,78sx/235V/600 <br /> LEGAL for new construction: Short Platisubctgir 114P.:77s."./7iVi6 ,2air-D27Z19 Lot No. (attach copyof tong'eget description} <br /> CONTACT I'WORMATION <br /> OWNER NAME: 04teep,/ TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: STREET /co/ <br /> CITY eLdeegar STATE Cjii ZIP 9erZoi <br /> OWNER PHONE: A,C-9/9-zerve(0 TOWNER EMAIL: .7:044440A...?4,13-eille*..01.4-ri:434,1 <br /> . . , <br /> CONTRACTOR NAME: C.3 wArcti. <br /> CONTRACTOR ADDRESS: STREE1 <br /> CITY STATE ZIP <br /> CONTRACTOR PHONE: !CONTRACTOR EMAIL: <br /> CONTRACTOR LICENSE 4t(REQUIRED): CITY OF EVERETT BUSINESS LICENSE t(REOUtFtE0): <br /> PRIMARY CONTACT: QQWNE CONTRACTOR OTHER(Please Specify) <br /> CONTACT NAME:440-0N taisSerdil CONTACT PHONE: <br /> 1CONTACT EMIL:bil-44etAi kis • 6547,1-:/.re,41 • <br /> BUILDING PERMIT APPLICATION <br /> Existing Use of Building: 0 kIVIVSLOZ tAcEnektur- Contract Price of Work: 2-coca—3Ooo <br /> Proposed Use of Building:Fil.41&t.igel gm-con/yr Heat Source: CG"' Electric Other AVIIIIIPF <br /> Building Type: SFR-Detached CSEE32aRBRI-2 Duplex Multi-Family-#of Units: Comm, Industrial <br /> Type of Project: New Addition --Fitik ? Repair Ti. Sign Sprinkler • Change of Use <br /> DESCRIPTION OF WORIC_rise,v,AAM 4 ciNF.,-.0",04 roiiyi.thew 4,4S w.rewor7 e-,e1Es:z 440411401-0 4:'‘) <br /> bee ge,00,14 FAA 6A:4 64.4".09 ;717. ve." "),sr- 0->42E.- <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICkTION <br /> Type of Project: _New Addn Alteration _Repair r Type of Project: K New AckIn _Alteration Repair <br /> Fixtures 1 of • <br /> List of Fixtures List of Fixtures List of Fixtures List of Fixtures <br /> Fixtures Fixtures Fbdures <br /> A/C-Air Handling Units Heat Pump Toilet Backflow Preventer(Inside Bldg) <br /> Forced Air Systems Unit Heater - i Bathtub Urinal <br /> Gas Piping Boiler I Lavatory(Wash Basin) - Drinking Fountain <br /> ,Water Heater Refrigeration I Shower Floor Drain <br /> Gas Fireplace Wood Stove Kitchen Sink&Disposal - ;Grease Trap <br /> Gas Range p Ducting ‘; Dishwasher :Roof Drains <br /> Clothes Dryer Hookups Other: Clothes Washer Medical Gas <br /> Range Hood I Water Heater Other: <br /> Exhaust Fan Sink(Service/Bar/Mop/etc. Other: <br /> APROSticLtkkOOPPft-EASIC*SY.:6TEIVOR.';:g.:: <br /> !Chemical or Water I !No.of Heads <br /> ACKNOWLEDGEMENT: have reviewed this application and confirm the information contained herein is true and correct Work done pursuant to this permit must comply with <br /> 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 <br /> Building Official before being authorized under any circumstance.lam the owner,or I am authorized by the owner of this properly to perform the work for which application is made, <br /> and 1 comply with the State Contractors Law 18.27 RCW and 296.200A WAC. <br /> City of Everett Official Use Only <br /> PERMIT# <br /> (-4-0R022 <br /> er/Authoriz gent Signature Date liCti(Revised 9223 2 1 <br />