6315 CYPRESS ST 2019-06-24 - Laserfiche WebLink

II'I � PERMIT APPLICATIO3I II BUILDING I IRECHANICAL / PLUMBING /SIGN f3�RINKLER/ DEMOLITION CITY OF EVERETT PERMIT SERVICES -7 ' 3200 CEDAR STREET,EVERETT,WA 98201 (P)425-257-8810 I FAX 425-257-8857 1(E)everetteps@everettwa.gov I www.everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: �3/5 C, /7 fr 6' s- _s PROPERTY TAX#: 0051/90 Ooed?Qy LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: /cO de/ Trg#0 2276.e, ENANT NAME(If .rr u i l): / /7t 6 phel�•7 OWNER MAILING ADDRESS: STREET Q'345C i 65 CITY 0 C€I STATE w�., ZIP 9�Zy Zi OWNER PHONE:L X79 ,,,q9 77 OWNER EMAIL: CONTRACTOR NAME: 7/1CG -Cotes$ iG,:p_S ..)._.#1,C. CONTRACTOR ADDRESS: STREET j,6p)G AP< 2 CITY gi -- STATE 4414-- ZIP �pZO4 CONTRACTOR PHONE: .5 7�� 6 3� / CONTRACTOR EMAILCC,S QOLOVL'O`,&€244�ocakiCfs.2 CONTRACTOR LICENSE#(REQUIRED)/VC, J/)Oc a /,p CITY OF EVERETT BUSINESS LICENSE#(REQUIRED)(j514(be PRIMARY CONTACT: 0 OWNER, CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: ,..ems i// 1j I s CONTACT PHONE: �s 1� � 6 3- // ►►" CONTACT EMAIL C'C_S- €:/e co A,90 �k.e-,,-5 BUILDING PERMIT APPLICATION, _. Existing Use of Building: Contract Price of Work:$_ 1-' Ici Proposed Use of Building: 6 Heat Source: ❑Gas ❑Electric ❑Other Building Type: ❑SFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units: ❑Commercial ❑Industrial Type of Project: ❑New Addition ❑Remodel ❑Reppair CIT.!. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESC TION OF WORK: C�oh3)L�+LCG�rt'-446 I[../p O ii /U. e. -t/7d/o c € ,S $ ,3 - ges,dehe-e C.. 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 0 - 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 made, and I comply with the State Contractors Law 18.27 RCW and 296.200A WAC. City of Everett Official Use Only _/../..,04;ig- , Lvi:!O/2oTh) O ,,, 1 wner/ oried Agent gnature Date q::)