9320 MEADOW WAY 2019-07-08 - Laserfiche WebLink

477- PERMIT APPLICATIC. BUILDIN.� i MECHANICAL/PLUMBING I SIGN i uPRINKLER I DEMOLITION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT,WA 98201 (P)425-257-8810 1 FAX 425-257-8857 I(E)everettepsaeverettwa.gov I www.everettwa.govipermits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: 9320 Meadow Way, Everett, WA 98203 PROPERTY TAX#: 28051700301700 LEGAL for new construction: Short PlaUsubdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: Prince of Peace Lutheran Church TENANT NAME(if Commercial): OWNER MAILING ADDRESS: STREET 9320 Meadow Way crn, Everett STATE WA zip 98208 OWNER PHONE: 425-337-6663 !OWNER EMAIL: pplcmain@frontier.corn CONTRACTOR NAME: Install by Owners CONTRACTOR ADDRESS: STREET CITY STATE ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: CONTRACTOR LICENSE#(REQUIRED): CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): PRIMARY CONTACT: fp OWNER 0 CONTRACTOR pi OTHER(Please Specify) Representative of Church CONTACT NAME: CONTACT PHONE: 4253214910 Alex Pidduck CONTACT EMAIL: Pidduckra@yahoo.com BUILDING PERMIT APPLICATION Existing Use of Building: CL4'c :'-'•, Contract Price of Work:$....4_2f - Proposed Use of Building: S 4 041.7_ Heat Source: ❑Gas I "Electric ❑Other Building Type: ❑SFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units: ®Commercial ❑Industrial Type of Project: ONew ❑Addition ❑Remodel ❑Repair ❑TJ. OSign ❑Sprinkler ❑Demoidion OChange of Use DESCRIPTION OF WORK: (N ST NA— O CT(AFL i4E41" Pt ''^P i�vXI- i�tZ1 f�;��La77rs(� 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 4, 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 Chemical or Water 'No.of Heads ACKNOWLEDGEMENT:/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 r_ PERM'T - Owner/Adthorized Agent Signature Date (Revised 9/23/2016) itv