3214 KROMER AVE 2019-06-25 - Laserfiche WebLink

PERMIT APPLICATION" BUILDING:ECHANICAL/ PLUMBING /SIGNRINKLER/DEMOLITION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET,EVERETT,WA 98201 (P)425-257-8810 I FAX 425-257-8857 (E)everetteps@everettwa.gov www.everettwa.gov/permits (Blue,or BIacl rink Only Please). n^ PROJECT BITE IINFORM,ATION. PROJECT SITE ADDRESS: 3211 Ki611 u. Age. Cuckcir 14/3 PROPERTY TAX#: 00,5-0,3 9 77500 700 LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) d„(5 IT-6 /) 4 el CONTACT INFORMATION OWNER NAME: ALA Al kA I LLrj/ TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET +�i3!a �3c /2 60 Z )) ss��,..�� CITY �V`4-6 Tr STATE U4 A ZIP 9 3 G.o6 OWNER PHONE: / 41.6- 1ZZ- Zig Z OWNER EM : e 6014/C.Lvrii OA A.�u i .t�r�ATN �r�1,4.� 3 CONTRACTOR NAME: d W g-/e L Y- 0�1, ( . C1291)- CONTRACTOR ADDRESS: STREET J CITY STATE ZIP CONTRACTOR PHONE: CONTRACTOR EM CONTRACTOR LICENSE#(REQUIRED): CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): PRIMARY CONTACT: ❑OWNER 0 CONTRACTOR E OTHER(Please Specify) fi2Aft gui'0 L 4.5 1 1 -pri a6 CONTACT NAME: d4-k/I1,360dix CONTACT PHONE: 360- 2319- ?6 z.. CONTACT EMAIL: t'12AiniajoiLks 66/64.�e /L .40.4 BUIILDINCw P 1 MIT Apl'I.ICATION t ,., ,; , Existing Use of Building: 6'f jL Contract Price of Work:$ 20. 9.31-- Proposed Use of Building: 5F2_, Heat Source: Etas ❑Electric ❑Other Building Type: Q'SFR-Detached ❑SFR-Attached ❑Duplex Multi-Family-#of Units: ❑Commercial ❑Industrial Type of Project: Mew ❑Addition 0 Remodel 0 Repair ❑T.l. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: alAy 5 mac p� ASSOCIATED BUILDING PERMIT#(if applicable): C? 05. 00 2• M1ECHA!1ICAL ERMIIT API LICATION PLUMBING PERMIT PPLICAtIO�I; Type of Project: I New _ Addn Alteration _Repair Type of Project: 1New Addn _Alteration _Repair #of #of List of Fixtures List of Fixtures #°f List of Fixtures #of List of Fixtures Fixtures Fixtures Fixtures Fixtures NC-Air Handling Units Heat Pump 3 Toilet Backflow Preventer(Inside Bldg) Forced Air Systems Unit Heater / Bathtub Urinal I Gas Piping Boiler 9 Lavatory(Wash Basin) Drinking Fountain / Water Heater Refrigeration j 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 I Range Hood Water Heater Other: I Exhaust Fan Sink(Service/Bar/Mop/etc.) Other: SiP.RIN ,ER i SUPPNSSS101*tSYST,EM , Chemical or Water No.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# /7-Z/-1.7 Cd"I, - ©(� 12_ (Revised 0 er/Authorized Agent Signa ure Date (Revised 9/23/2016)