5002 S 3RD AVE 2019-05-23 - Laserfiche WebLink

PERMIT APPLICATIIll BUILDII4 J MECHANICAL/ PLUMBING /SIG I 4rerrItPRINKLER/ DEMOLITION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET,EVERETT,WA 98201 (P)425-257-8810 1 FAX 425-257-8857 1(E)everetteps@everettwa.gov I www.everettwa.gov/permits „ PROJECT SITE INFORMATION PROJECT SITE ADDRESS: PROPERTY TAX#: ADDRESS:,oots3 - Nve . LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) . .._• .. • ,,... ,C ONTACT INFORMATION _,•', OWNER NAME: ILA l L tAt L v\i1/4r2--TNt 4 a TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET 5()02 S 2)r� Avg CITY CV— TC STATE W , ZIP ct4,Z03 OWNER PHONE:L% .51(oD•1-,ti OWNER EMAIL:\A J W 1431-k ,,'Lei',Akl-DO,(9M CONTRACTOR NAME: Lei Vst. CONS \(2..UkL^'t't D'tJ, ,LLC. CONTRACTOR ADDRESS: STREET.5 Cb 2.. 3 3r0 Aja, CITY Svelte-11 STATE,/�/A- ZIP 9°12.05 CONTRACTOR PHONE: 4z5- 1(00. ill-15 CONTRACTOR EMAIL:( � µ4�,,Lco ST( AC t Ott t'(kWo .CNA CONTRACTOR LICENSE#(REQUIRED) Lk.k COOL 55Z 9E CITY OF EVERETT BUSINESS LICENSE#(RE ED): D55z39 ) PRIMARY CONTACT: 2 OWNER 0 CONTRACTOR 0 OTHER(Please Specify) /// CONTACT NAME: M i okA i1/4,0-r-Mvsg,d CONTACT PHONE: 42S. 1 too• LA fl 3 CONTACT EMAIL:wR,� vkPoaSt'tl.i.exAtl-oo:C_ot BUILDING PERMIT APPLICATION Existing Use of Building: Contract Price of Work:C 'S I Ong _ Proposed Use of Bui•' g: Heat Source: ❑Gas ®Electric ❑Other Building Type: .;SFR-Detached ❑SFR-Attached 0 Duplex ❑Multi-Family-#of Units: ❑Commercial ❑Industrial Type of Project: New ❑Addition ❑Remodel ❑Repair DTI. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: V4Ek) E\A 6.6 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 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 (Number 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 mad, and I comply with the State Contractors Law 18.27 RCW and 296.200A WAC. 074 City of Everett Official Use Only , J� c__ I PERMIT# 2► ► °«°q- oaf Owner ut orized A. nt Signature Date (Revised 10/12/2015)