1308 BALLEW AVE 2019-06-10 - Laserfiche WebLink

PERMIT APPLICATION '111?1/14{—e--A BUILDING /MECHANICAL/ PLUMBING /SIGN I 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 Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: (' iQ / pet 1 t e_,Nt,/ AJ{,_, PROPERTY TAX#: 09 3i) (4-1006 Cb(e Q() LEGAL for new construction: Short Plat/subdivision Yy a/,a,/(yi 11:44d 14 ZIT 3 Lot No.(!J (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: la:4h in 5.-GI' TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET (3,2 gel I(tnNe-' CI CITY FAiu()44 STATE Ucj)Q ZIP OWNER PHONE: '{1L5 - £l - ()Lt. OWNER EMAIL: CONTRACTOR NAME: G Cl2 05 1-it-Ll ' to 0 UV e...,..- CONTRACTOR CONTRACTOR ADDRESS: STREET ('67 ) jk 2 111.-- CITY 1)i ,;(64I W *j STATE 031:=.. ZIP 4) P 1 1i--.., CONTRACTOR PHONE: o6 - 6'51—-- 5 o °i CONTRACTOR EMAIL: Sed Co n s+rt,-)e.,4, , a, j(1/V''I., ,� CONTRACTOR LICENSE#(REQUIRED):46hLo '? iJ CITY OF EVERETT BUSINESS LICENSE#(REQ D): 5' ) 1 9 PRIMARY CONTACT: 0 OWNER 1140,.: •C rAR 0 OTHER(Please Specify) CONTACT NAME: f�Q , CONTACT PHONE: O Sy� �l �� CONTACT EMAIL , „ ,41 L P ��. 11gera BUILDING PERMIT APPLICATION Existing Use of Building: I2a„ �.A.,,o-i. Contract Price of Work:$ Zn() l Proposed Use of Building: 1 idA4t SL Heat Source: ❑Gas tIT lectric ❑Other Building Type: OFR-Detached ❑SFR-Attached ❑Duplex LI liulti-Family-#of Units: ❑Commercial 0 Industrial Type of Project: ❑Newddition ❑Remodel ❑Repair DTA. 0 , ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WOR : lacAcA 4 J4o,N►s j CSVQ./1¢, ACyO' ASSOCIATED BUILDI 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 I Toilet Backflow Preventer(Inside Bldg) Forced Air Systems Unit Heater Bathtub Urinal Gas Piping Boiler 1 Lavatory(Wash Basin) Drinking Fountain Water Heater Refrigeration 1 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 'Chemical or Water I INo. 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. #2._31?/)/6City of Everett Official Use Only il / PERMIT# ®�'rDeo I Owner/A. hori •. Ag= `'•nature te (Revised(9//23/2016)