2401 BAKER AVE 2019-06-18 - Laserfiche WebLink

PERMIT APPLICATIOI— BUILDING / MECHANICAL/ PLUMBING /SIGN I SPRINKLER/ DEMOLITION CITY OF EVERETT PERMIT SERVICES • giT 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) ��yy PROJECT SITE INFORMATION PROJECT SITE ADDRESS:,2,40` (jCt.4r G1 Ve Evert q t Zlf I PROPERTY TAX#:2'\0 5 2.0 b 0300 \ LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: MATO a�t a,nd.r TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET 2 401 PDaker I\-Y 2 CITY .vere STATE •V q ZIP 9.i LO ' OWNER PHONE: x{25 3 6•-.)- Z 20 OWNER EMAIL: SGln(110Af,)( 3 coo In CONTRACTOR NAME: CONTRACTOR ADDRESS: STREET CITY STATE ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: CONTRACTOR LICENSE#(REQUIRED): CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): PRIMARY CONTACT: t OWNER 0 CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: Las• ?J s 7. 2 2_0,3 CONTACT EMAIL: SOLI-NA CtIR.g Come- n e-F- BUILDING PERMIT APPLICATION Existing Use of Building: % \t. `ketr(V1 Contract Price of Work:$ Proposed Use of Building: q:„ .• Heat Source: ❑Gas ❑Electric ❑Other Building Type: I SFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units: ❑Commercial ❑Industrial Type of Project: ❑New DAddition Remodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: ,. _ ., ,p • „iv" " o.'irr . v i Wr rNe)NWAst 4eCe PNWC‘A \IZOt3tY,AQ,A,\ 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 #of #of #of List of Fixtures List of F ores List of Fixtures List o 'xtures Fixtures Fixtures Fixtures Fixtures A/C-Air Handling Units Heat,• mp Toilet Backfl. 'reventer(Inside Bldg) Forced Air Systems t Heater Bathtub al Gas Piping :oiler Lavatory(Wash Basin) Drinking Fountain Water Heater Refrigeration Shower Floor Drain Gas Fireplace Wood Stove Kitchen Sink&Dispos. - Grease Trap Gas Range Ducting Dishwasher Roof Drains Clothes Dryer Hooku.: Other: Clothes Wash Medical Gas Range Hood Water He. -r Other: Exhaust Fan Sink ice/Bar/Mop/etc.) Other: SPRINKL R/SUPPRESSION SYSTEM Chemical or Water No.of Heads ACKNOWLEDGEMENT.'l 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.tam the owner,or tam 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#t0 62A cuthorizZntnaturP _ ao��1- I e Date (Revised 9/23/2016) �t