3206 WAVE DR 2019-05-22 - Laserfiche WebLink

PERMIT APPLICATION . "III BUILDING I MECHANICAL I PLUMBING/SIGN I SPRINKLER I DEMOLITION /� CITY OF EVERETT PERMIT SERVICES ,411111111V - 3200 CEDAR STREET,EVERETT,WA 98201 (P)425-257-8810 1 FAX 425-257-8857 1(E)everetteps@everettwa.gov 1 www_everettwagov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: '3 a b la W t u e 0,,,,- .. C— ye-v-4.'11 PROPERTY TAX#: 0 d S 7 17 0 0 5a®t?O C LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: r3 C w e, C8 a\1 Lt,I. TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET 30.UG k).v e- 3 CITY a v Q„v.A,* STATE kJ Ct ZIP C4 i. a , OWNER PHONE: Lf'a y- 3 3 -- 77. $ 9 OWNER EMAIL: & o vt.vt et e - b A 1, ,,vt,, @ L ?v a.e d im CONTRACTOR NAME: ifcos ,,r CONTRACTOR ADDRESS: N,L STREET I Y ,� CITY4)--) STATE ZIP 3 ,_, CONTRACTOR PHONE: CONTRACTOR EMAIL: CONTRACTOR LICENSE#(REQUIRED): CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): PRIMARY CONTACT: ❑OWNER 0 CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: CONTACT EMAIL: BUILDING PERMIT APPLICATION Existing Use of Building: Contract Price of Work:$ Proposed Use of Building: Heat Source: ❑Gas ❑Electric ❑Other Building Type: ❑SFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units: ❑Commercial CI Industrial Type of Project ❑New ❑Addition ❑Remodel ❑Repair ❑T.I. ❑Sign G❑�Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: ` °\ I 4,� W �- (sta÷A- ( ..1- ea. A Q v k vv..) 2-, 0. v.,1,v,�.1 5f.dv t w 1L 6 ,2--- S'y 5 1 I�►M : ✓I 1 4_ P.✓L... a 1 Q`CA V L C o� J se,v2c1. v-u� t� t �/� / ASSOCIATED BUILDING PERMIT#(if a( cable): 1 S MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION Type of Project: New_ Addn _Alteration _Repair Type of Project _New Addn Alteration _Repair #of #of #of #of List of Fixtures List of Fixtures List of Fixtures List of Fixtu Fixtures Fixtures Fixtures Fixtures NC NC—Air Handling Units Heat Pump Toilet 1 Backflow Preventer(imide 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 G se Trap Gas Range Ducting Dishwasher of Drains "/ Clothes Dryer Hookups ..._ Other: Clothes Washer edical Gas li Range Hood Water Heater r ther. (A pule., ay./0(414d Exhaust Fan Sink(Service/Bar/Mop/etc.) Other: s ,y 1,,,,i i C,. rem SPRINKLER I SUPPRESSION SYSTEM` I C y (Chemical or Water I INo,of Heads /'t t H t - . ACKNOWLEDGEMENT.I have reviewed this application and confirm the information contained herein is true and correct. Work done pursuant rmit 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 authonz citing from the Building Official before being authorized under any circumstance.I am the owner,or/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 r.„3, 6 is ,, Owner/Authorized Agent Signature Date (Revised 9/23/2016)