4845 GLENHAVEN DR 2019-07-08 - Laserfiche WebLink

PERMIT APPLICATIOM #41.1 BUILDING /MECHANICAL/ PLUMBING /SIGN /SPRINKLER/ DEMOLITION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET,EVERETT,WA 98201 (P)425-257-8810 1 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: 411^p,4( A 1 ev.�1x4 v, p R... 1 iv,e,Za-i11 WA PROPERTY TAX#: OO 1/9&7000051g00 LEGAL for new construction: Short Plat/subdivision Lot No. ciii2 (attach copy of long legal description) CONTACT INFORMATION OWNER NAME:.-td Isl. i',ksl�a 4 11vtl\ 5, 6 6..yl Se.)-1,•_ 04 TENANT NAME(If Commercial): OWNER MAILING ADDRESS: sTRE T G I-e rA:ka.1e�. T7i7._ L`J e r--e-Aer CITY J)YY_ STATE ZIP 9 .2-c3 OWNER PHONE: Li 1-S5- acv (LISS OWNER EMAIL: re,U.t vt,,,_,C a r(cc:m-6 JW slit.Cow\ CONTRACTOR NAME: 5aroe ICS 4boi/`Qi CONTRACTOR ADDRESS: STREET CITY STATE ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: CONTRACTOR LICENSE#(REQUIRED): CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): PRIMARY CONTACT: 0 OWNER 0 CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: iCONTACT PHONE: q 2g 3 5-0- 1 .g- Rol/in Carts© 1 CONTACT EMAIL: ro 11 Cetk/Sorge 5 7. C�G`V) BUILDING PERMIT APPLICATION ` 22 Ce ell Existing Use of Building: filo vvl " 5rio- Contract Price of Work:$ $ /3 K i f t—Reouaitl Proposed Use of Building: .40 11,(y, ` Sr"--- Heat Source: ❑Gas ❑Electric ❑Other Building Type: CSFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units: ❑Commercial ❑Industrial Type of Project: ❑New ❑Addition Remodel Repair ❑T.1. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: W��i e �t�^L I��y�o hem Ieg+J if e,, ; yi evir�MSw), -pv,;.l 01 p.e� D 'po- rI4vti -C-i v-e i-0411), - _ - . - ASSOCIATED BUILDING PERMIT#(if applicable): MECHANICAL PERMIT APPLICATION I PLUMBING PERMIT APPLICATION Type of Project: _New_ Addn _Alteration _Repair Type of Project: _New _Addn _Alteration _Repair #of Fixtures List of Fixtures #o es List of Fixtures Fixtur List of Fixtures Fixtures List of Fixtures A/C—Air Handling Units Heat Pump ' •flet — PMO :-ckflow Preventer(Inside Bldg) Forced Air Systems Unit Heater Ba , ub Urinal Gas Piping , Boiler Levet.- (Wash Basin) Drinking Fountain / Water Heater efrigeration Shower.._ •,v,O , Floor Drain a Gas Fireplace od Stove / Kitchen Sink& •• . Grease Trap Gas Range ,_!\. Ducting ' Roof Drains Clothes Dryer Hookups `` _ O er: _ • ,- _ e0. Medical Gas ( Range Hood 0,--j Water -'-= er Other: r3 Exhaust Fan Si Service :ar/ op/etc.) Other: SPRINKLER/.SUPPRESSION SYSTEM , 0' Chemical or Water I No. of Heads , , ACKNOWLEDGEMENT.:!have reviewed this application and confirm the inf. ation coed herein is tr • and correct.Work done pursuant to this permit must comply with current federal,state,and local law.The granting of a permit only authorizes ap. • _.work and no devi- ons therefrom.Deviations must first be authorized in writing from the Building Official before being authorized under any circumstance.I am the owner,or I-'..r-. .or' ..''"he 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 11`` ZabAn 1/4 C PERT g 1 co l Owner/Authorized Ant Signature Date (Revised 9/23/2016)