3112 15TH ST 2019-07-09 - Laserfiche WebLink

OLT PERMIT APPLICATION= BUILDING/MECHANICAL/ PLUMBING /SIGN / SPRINKLER/ DEMOLITION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET,EVERETT,WA 98201 (P)425-257-8810 I FAX 425-257-8857 I(E)everetteps@everettwa.gov I www.everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: S( ( Z (5 L' Std E\e. e -t-€ J% A- PROPERTY TAX#: 0055633 150 3100 LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: SIE R lc 4-p(ex L' „nn;-i 'd Pav'-f wet si,pTENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET I 2 q L ke Ave CITY 5110 V1©Wil S(i STATE WA- ZIP 9`a29n OWNER PHONE: 360 —S 6 f3— O(e)7 OWNER EMAIL: pye CX v‘14 p ED3u in o, c p y,, CONTRACTOR NAME: CONTRACTOR ADDRESS: STREET CITY STATE ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: CONTRACTOR LICENSE#(REQUIRED): CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): PRIMARY CONTACT: L$OWNER 0 CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: T I im of(1Y Sj t`(` CONTACT PHONE: 76e)- -s-60 —0l07 CONTACT EMAIL: pye N LI p 5UIA.0-COl4-1 BUILDING PERMIT APPLICATION Existing Use of Building: 4 ()let A p u v--6.4 e t.c-(- E t Contract Price of Work:$ 2g0,CO Proposed Use of Building: 4 U14 i-(- A par(-t,,,tn Li-f $ IGQ Heat Source: ❑Gas DElectric DOther Building Type: ❑SFR-Detached ❑SFR-Attached DDuplex Ir 'Multi-Family-#of Units: A DCommercial ❑Industrial Type of Project: DNew DAddition DRemodel ]Repair DTI. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: R¢.place4exis i19 6etis w;-t14 view bee,.w,$) Sa1.4le 5; ze awddesi514 as iLe e'.x;si''Ay ben W% eact s av'e suppatK ” 21.3d -No.v l ecK. Replace ex; sf;it 3 s-tep stct; r 51-'6 cierrs. tAA-E1,7 Kei.J 3 step -ta; v' SE��we,~ . Steps Jea.A ±o .1c1 ASSOCIATED BUILDING PERMIT#(if applicable): loo,„ eptiNy Ia in a In 1741 Cl pc v4 v:tew+ A. 5-pe. rx1-1a coed letter 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 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.l 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 PER w Ro(0 CD ' Owner/Authorized Age t Signature Date (Revised 9/23/2016) //77 )