1315 ALDEN PL 2019-07-12 - Laserfiche WebLink

PERMIT APPLICATION 'IP. BUILDING I MECHANICAL I PLUMBING/SIGN t SPRINKLER I DEMOLITION o CITY OF EVERIZ i 1 PERMIT SERVICES 3200 CEDAR STREET,EVERETT,WA 98201 IP)425-257-8810 I FAX 425-257-8857 I(E)everetteps(rr everettwa.gov j www:everettwa.gov/permits earl+ .for Black Cek:"Dnly Please), PiItIQJEGfi�i 1-BAMi::.E'i, 4111I014 . .. PROJECT SITE ADDRESS. I J t 'P PROPERTY TAX.#f: LEGAL for new construction: Short PlatisubdMsion Lot'No. (attach copy of long legal description) CONTACT INPOMVIAT'ION OWNER NAME: i\lt 4`�'f /1f R _ fi TENANT NAME(If Commercial): OWNER MAILING ADDRESS: sTREST• . , ,CID' f , ..,..1 /'�'CIn r/ .f1 STATE Lk) ZIP . OWNER PHONE: "`"tOI I OWNEft`:EMA1L; CONTRACTOR,NAME ' Q ,o9 CONTRACTOR ADDRESS: • sn s r 1"f k 6742 G L1, l I:I t,A CITY /4/41.")`?Elft. STATE,!/Y ZIP � fr �i� J CONTRACTOR PHONE: I' `4 CONTRACTOR EMAIL: ftc +rt, , ' ✓6,, 4....(,cr ,-.1 CONTRACTOR LICENSE#(REQUIRED): /4/Alp 'grr ettep L CITY OF EVERETT BUSINESS'LICENSE#(REQUIRE©);/)C 4)' PRIMARY CONTACT: 0 OWNER 14 CONTRACTOR CI OTHER(Please Specify) CONTACT NAME: CONTACT PHONE ' S'7 its j/( &X '- CONTACT EIWI: { 5 aco",,.. ...... ...... ......... .... ... . .... . .. ..B4L INS PER. IT APPLICATION, Existing Use of Building: Contract Prose of Work:.$. 05-42-- Proposed Use"of Buildings wHeat Source: Chas QElectric Daher Building Type: DSFR Detached ©SFR-Attached 0Duplex CiMuiti Family-#of Units: QCommerciai ©Industrial Typo of:Project: E3Neww 1 ,!Addition DRemodel O tepair OT.t. I:3Sign OSprinkier QDemolition OChangeof Use DESCRIPTION OF W 5 1 43 /„..,,,/r-,e` s ). 5 ell 5 ..t! - tit f-i)r- . i l . f. ,, -- ci_._ 11i ASSOCIATED BUILDING PERMIT#(if apelicable): MECHANICAL APPLICATIONPERMIT' - •.• • " • . PLiVlBNIG PERMIT APPLICATION Type of Proiect New Addn Alteration-,Repair Type of Project: _New _Adds _Alteration _Repair #of #af #of #of List°f List of Fixtures List of Fixtures dist vii Fixtures W Fixtures Fixtures fixtures`- Fixtures A/C-Air Handling Units Heat Pump Toilet Backflow Preventer(Inside Bldg) Forced Air Systems Unit Heater Bathtub. Urinal I "Gas Piping Boiler 'Lavatory(Wash Basin) Drinking Fountain Water,Heater Refrigeration Shower Floor Drain', I Gas Fireplace Wood Stove Kitchen Sink&Disposal Grease Trap Gas Range Ducting Dishwasher Roof Drains • Clothes Dryer Hookups Other: Clothes Washer Medical Gad Range Hood Water Heater Other: Exhaust Fan Sink(Service/Bar/Mop/etc.) Other: SPRINKLER I SUPPRESSION SYSTEM 'Chemical or Water 1 JNo..of Heads ACKNOKEDGEIV ENT: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 authotizes,approved work and no deviations therefrom.Deviations must first be authorized In writing from"the Suikting Official before being authorized under any circumstance,I am the owner,•or t am authorized by the owner of this;property to perform the work for which application is:made, and t comply with the State Contractors Law 18,27 PCW and 296,200A WAG City of Everett Official Use Only PERMIT#/ OwnerlAuthorized Agent Signature Date (Revised 9,23/2016)