2515 WETMORE AVE 2019-05-22 - Laserfiche WebLink

PERMIT APPLICATIONM BUILDING / MECHANICAL/PLUMBING/SIGN /SPRINKLER/ DEMOLITION ,‘Py414 —_ � CITY OF EVERETT PERMIT SERVICES h' 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: �J 15 vver 7 - PROPERTY TAX#: LEGAL for new construction: Short Plat/subdivision 43ea5 Lot No.._. _ (attach copy of long legal description) XPV,�, p J CONTACT INFORMATION OWNER NAME: 1--A 12...,r2-T t' 't2& TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET 0 IG. 'N 6TM.412 /6„,•-r .�/ � ,V_\/. ...1-2-..ell- Y,}�CITY STATE ZIP C::Ij1 OWNER PHONE: 07 • 2 Co. di;••" d 033 OWNER EMAIL: CONTRACTOR NAME: OVv/f- 46 r2_. CONTRACTOR ADDRESS: STREET CITY STATE ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: CONTRACTOR LICENSE#(REQUIRED): CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): PRIMARY CONTACT: 0 OWNER 0 CONTRACTOR 0 OTHER(Please Specify) 1='•52-C'.--Ir---1 I.T til CONTACT NAME: CONTACT PHONE:4zS ,,el ` k=734- 1.-417x, cj,rzs.-fl-1 CONTACT EMAIL:10P31:::.12,SET-4 dl V.e.,O'L^ BUILDING'PERMITAPPLICATION', Existing Use of Building: ••••••.12- Contract Price of Work.�.'.i :j/�am/ % n ':'- ,41,1"4"awI Proposed Use of Building: C FIR Heat Source: ❑Gas ,lectric ❑Other' ( 1 S'r) -, Building Type:, FR-Detached ❑SFR-Attached DDuplex ❑Multi-Family-#of Units: ❑Commercial El Industrial Type of Project: ❑New DAddition Remodel epair ❑T.I. El Sign El Sprinkler El Demolition ❑Change of Use DESCRIPTION OF WORK: I 1Z Fit 12 z 12 . - --I`C -- 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 #of List of Fixtures #of List of Fixtures Fixtures Fixtures Fixtures Fixtures A/C--Air in UnitsHeat Pump i Toilet Backflow Preventer(Inside Bldg) orced Air Systems - Unit Heat- Bathtub Urinal Gas Piping t 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 i Range Hood / Water Heater Other: / 1 Exhaust Fan / Sink(Service/Bar/Mop/etc.) Other: SPRINKLER',SUPPRESSION SYSTEM Number of Heads ACKN•.. EDGEMENT: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 -..•a'.state,and local la .The granting of a permit only authorizes approved work and no deviations therefrom.Deviations must first be authorized in writing from the Building• • l befor: •-"..au orized 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 I co ' (ith t "State :tractors Law 18.27 RCW and 296.200A WAC. III 41111f City of Everett Official Use Only PERMIT f(0oo( 0 Owner/Au o ized Agent Signature Date (Revised 5/20/2016)