8519 8TH AVE W 2019-05-23 - Laserfiche WebLink

PERMIT APPLICATION■ BUILDING/MECHANICAL/ PLUMBING I 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 I www.everettwa.gov/permits ;(Blue:or Black Ink Only Pleas .. PROJ CT SITE 11 FORMATION :, .f , . ,_ . _ . PROJECT SITE ADDRESS: 8,57q Silt Aw 's---i2400 PROPERTY TAX#: 0651 8 2..0 00 D 0 �80 10013 Y LEGAL for new construction: Short Plat/subdivision 510 Vat-fl'PP)'f)O w v. 4ZrLot No. 'Z"+ (attach copy of long legal description) CONTACT INFORMATION ,-, OWNER NAME: 16'fce_ i 4.0 Z-4 Aro TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET 90 2,5- 0i/ 1L6'12.e_t Ai (A.14Y � CITY / 1V A/ + gSTATE /�f�9-- / ZIP (18.2124, OWNER PHONE: 17g O OWNER EMAIL: `1 e. I / g`4 '/ o yahoo -0-in CONTRACTOR NAME: 0Witi7A/ phi a' g f!. CONTRACTOR ADDRESS: STREET r I CITY STATE ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: CONTRACTOR LICENSE#(REQUIRED): CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): PRIMARY CONTACT: 0 OWNER 0 CONTRACTOR XOTHER(Please Specify) ,> CONTACT NAME: CONTACT PHONE: 0,5-2,99- 9e9 e4-0/ CONTACT EMAIL: V'1 q 0 2.OL9 ca if Al a©e Coln 7 BUILDING PERMIT APPLIGATIFO i. . . . „ ._ Existing Use of Building: Contract Price of Work:$ 001 _ Proposed Use of Building: Heat Source: ❑Gas ❑Electric ❑Other Building Type: ❑SFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units: ❑Commercial ❑Industrial Type of Project: ONew ,Addition ❑Remodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: ,1 A-(SE peal access vo de C ,1l it kd 1 by acid�a34i'q- 4i b q e12;t°e n/S�¢ i II ja . scrt7?p opsra/its,.41 Close QI' e egcleg, 6gicle deck add 4.1ge (�,Q6Rigite, to rmmil angke �s GaR'e- sel F- c-IO s/N'q% WIV/MIT/CE(70P 70 807r00I) ASSOCIATED BUILDING-PERMIT#(if applicable): MECHANICAL'PERMITAPPLICATION 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 l 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 I comply with the State Contractors Law 18.27 RCW and 296.200A WAC. City of Everett Official Use Only PERMIT# ; � I _ i® -2 17 ( 7 [ 0 - Ott-7 ner/ thorized Agent Sin re Date (Revised 9/23/20160