2901 EVERETT AVE 2019-06-24 - Laserfiche WebLink

PERMIT APPLICAT 0 BUILD• / MECHANICAL/ PLUMBING /SI iii '.SPRINKLER / DEMOLITION #.111P./1 /---74 N4011;71 �M11 , CITY OF EVERETT PERMIT SE-Ilu 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 ci'r B(ac Ink Owaly -rea.$) ., PROJECT SITE INPORMA`> 'ION PROJECT SITE ADDRESS: .,g0) Eu e..,t# /"T^t-L, PROPERTY TAX#: Z.4oSLpceL4o-Loa LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) C ONTACT 1NPORNl_A IOlrl, OWNER NAME:0e..+j 1 G,I. C TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET 2 p o S N t 3 S t-'-‘t-'-‘ p\„,.e. Ke../1 CITY K e./1/- ✓' STATE WA, ZIP gc'os 4 OWNER PHONE: ('Lc, . ) 441/ _. Sq S7 OWNER EMAIL: 5 lc 4 II" Q <JL b/vL. GO yi,, CONTRACTOR NAME: CONTRACTOR ADDRESS: STREET ki - A.i CITY STATE ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: CONTRACTOR LICENSE#(REQUIRED): CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): PRIMARY CONTACT: ❑OWNER 0 CONTRACTOR lXI OTHER(Please Specify) l-bSpt."l ;- 0 IAJ A G1 CONTACT NAME: CONTACT PHONE: (iZs) Z6 ir^ iii4s -Tiacy w rysvel CONTACT EMAIL: bre,, ,., (-racy Q !l Vt_ , cow, . a _ „ z �BUTLDING~PERMIT APPILICATIoN Existing Use of Building: U q t c. (3 f ora c Contract Price of Work: $ 2_ O 06_ Proposed Use of Building: Heat Source: ❑Gas 0 Electric ❑Other Building Type: ❑SFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units: RICommercial ❑Industrial Type of Project: ONew DAddition ❑Remodel ❑Repair ❑T.I. OSign ❑Sprinkler Demolition OChange of Use DESCRIPTION OF WORK: 12 ..)-b Q—k„V o Q 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 Fixtures List of Fixtures Fixtures List of Fixtures #°f List of Fixtures #of List of 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: 'sPRINKI.ER/SUPPRESSION SYSTEM ' 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 �— PERMIT# /44,t_i ...4,..., 43 TIG- /4 I) WI(0QR -OD f Owner/Authoriz Agent Signatur Date (Revised 5/20/2016)