5002 9TH AVE W 2019-05-23 - Laserfiche WebLink

05/01/2018 TUE 7: 03 FAX 425 415 6867 Fast water seater 10005/005 V leg-o ?-- PERMIT APPLICATION r, -' . BUILDING/MECHANICAL I PLUflIBING I SIGN/SPRINKLER/DEMOLITION CITY OF EvERETT PERMIT SERVICES 3200 CEDAR STREET,EvERRTT,WA 08201 (P)426-257-8610 I FAX 426 257-8857 I(i-)evernttepsr_?everettwa.gav i www.evar®Uwa.gov/permits • (Blue-or Block Ink Only Please) PROJEC"T,8lT INFORMATION - "PRCliEC15ITEAADRES9: ADO 11.--- °P41 TYTAX 1/1,! _ IPRF: )[ (1 V LEGAL for naw construction: Short Piet/subdivision - •_ _ Lot No. (attach copy of long legal deeorlption) CONTACT INFORMATION OWNER NAME: J.tjtd roil lAr eA j TENANT NAME(if Commercial): .-------- t -- OWNER MAILING ADDRESS: ernaEr Maw L.1 env f/Vei - [ _ STATE wA- ZIP / " /rat)3 OWNER PHONE: P 3�0 b 3 {OWNER EMAIL: _ .. CONTRACTOR NAME: fA ST (AJ Al g Re* AT CONTRACTOR ADDRESS: STAEaT 0'.)r 15 N ' 'e e P \-4 S C I ()g. ...-- /V�] , ..D\,\ /�} enY 01)i 11 LA/ _ STATE UV ZIP .1 Q t 1 . CONTRACTOR PHONE: (-05 iO i iM CONTRACTOR EMAIL: v.Q,INI 1-1-44,.„,,,,„.0„,,,,„4,-. ,,,,,,,,, U P (� CONTRACTOR LICENSE#(REQUIRED): / S"M U VII I R'g)l� rc Tv OF EVERETT BUSINESS LICENSE#(REQUIRED)5 L153 PRIMARY CONTACT: ❑OWNER t CONTRACTOR ❑OTHER(Please Specify) - ^ CONTACT NAME: II CONTACT PHONE: i-.{05 / -3S1.1 '� Yr V CONTACT EMAIL: 2-Q�I/y,:It l.r.. si-,L �'f,, ' t .. . CjOv ,1 BUILDING PERMIT APPLICATION • F=xisting Use of Bulldirig: I L Contract Price of Work:$ '35 1_ - 71 Proposed Use of Building: Heat Source: , a8 DElectriC I-7Other Building Typo: MFR-Detached DSFR-Attached DDuplex ©Multi-Family4 of Units: ©Commercial ❑industrial Type of PrOJeCt Mew CIAddition. LIRemodel Repair DT.I. EISIgn DSprinkler ©Demolition DChange of Use DESCRIPTION OF WORK: vYn 0\1e l ‘re4)1.A.ce CiA-S w& e ( illCat r ASSOCIATED BUILDING PERMIT#(if applicable): T - ` .. _ MECIFIANICAiL PERMIT APPLICATION PLUMBING PERMIT APPLICATION Typo of Project: _Now— Addn _Altoratlon Ropalr Type of Project: New ,_Addn _ Aiteration _Repair Fixtures List of Fixtures FIxte As List of Fixtures Fixtures List of Fixtures `or of _List of Fixtures A/C-AIr Handling Unite Neat Pump Toilet - Backfl' Praventer Inside Did! Forced Air Systems Unit Hester Gas Piping - Boller - .. _ Laveto A ash Basin ► nkln: Fountain 1(01. :Water Heater ReFrigeration Sho _ Floor Drain — Pas Fireplace Wood Stove KI • en Sink&Die•oval Grease Tra• Gas Range Ducting DI'Etli Roof Drains Clothes Dryer Hookups other: Cl• has Washe Medical Gas Range Hood a'Tj F Other: Exhaust Fan - - Sin .man•,,: Ear/Mo.,etc. Other: SIPRIN - ` - gSSlO - -M_ emical or = _ • - , ..of Heads • ACKNOWLEDGEMENT::i have fevtewed this eppilcaffon and confirm the Information contained herein is true end correct.Work don*pursuant to this permit must comply with current federal,state,and focal law.The granting of a permit only authorizes approved work and no deviations.there cm.Devlstfons must/bathe authorized lb writing from the Building Offloial before being authorized Linder any cfcumstenca 1 em the owner,ori am sumorfxed by the owner of tnfs properly to perform the wort for which appticetion is made, gnu/comply with the Stale Contractors Law 15.27 RCW and 2ea200A WAC. City orFve,ef!Official Use Only oW T AAfr JA, A ') 5. 1'15 PE S — oo s Own IAuthot zedAgaetsignature Date Rev sad 3/20