2313 CEDAR ST 2019-07-16 - Laserfiche WebLink

h " 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 ,y PROJECT SITE ADDRESS: 2.'i3 ( I v'- S4 �( /� %% l PROPERTY TAX#:I GAJ3qr D'o/0075CZ LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT NFORMATION OWNER NAME: SCh / l/4 a e+ 1 ANT B SINESS NAME(Commercial): OWNER MAILING ADDRESS: STREET (IR"rT / e L CITY CO• STATE '1010(4- ZIP OWNER PHONE: (-05" --o I " 7550 OWNER EMAIL: CONTRACTOR NAME: J{5 P inb/A � 7L�fJL L CONTRACTOR ADDRESS: STREET �i5� !"`"�" #9z-- 1A) cIm' (l ,g-4,0i- STATEVia- ZIP CIEW/ CONTRACTOR PHONE: 5-�-5b -6) CONTRACTOR EMAIL: 5110.010 ,doll4 .(/a/ - CONTRACTOR LICENSE#(REQUIRED): b$ s1I,)3gc CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): PRIMARY CONTACT: 0 OWNER pf CONTRACTOR 0 OTHER(Please Specify) CO TACT NAME• CONTACT PHONE: ��—/� 1,,1/4.) I-Lwet Ns ' itc. EMAIL: S ( �(�t-�If'of ,),. alt.: e, BUILDING INFORMATION Existing Use of Building: Contract Price of Work:$4;95 crit-q2-- Proposed Use of Building: Heat Source: ❑Gas FilElectric ❑Other BUILDING USE: ISFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: El Commercial ❑Accessory Structure Type of Project: ❑New ❑Addition Remodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use Dpi,„CRIIPyTION OF �WORK: y/� /^' k/V 6c f aki a • k- /IP . ASSOCIATED BUILDING PERMIT#(if applicable): MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION Fixture Fixture Fixture Fixture Count List of Fixtures Count List of Fixtures Count List of Fixtures Count List of Fixtures A/C-Air Handling Units 1 Gas Piping Backflow Preventer(Inside Bldg) Shower,Tub,or Combo Boiler I Gas Range Clothes Washer Sink-Commercial(3-comp,prep,floor) Clothes Dryer Heat Pump&Ductless Dishwasher Sink-Residential(kitchen,bath,bar) Duct System(Remodel) Refrigeration Drinking Fountain Sink-Utility,laundry,mop Exhaust Fans(Residential) Commercial Ventilation Floor Drain Toilet Exhaust Hood(Type I) (Not Heat/AC system) Hose Bibb Urinal Exhaust Hood(Type II) Water Heater Interceptor-Grease Waste/Water Piping Repair Exhaust Hood(Residential) Wood Stove Interceptor-Sand/Oil Water Service(behind meter) Forced Air Systems w Medical Gas Water Valves or Fixtures Gas Fireplace/Insert/Log Roof Drains Water Heater • SPRINKLER/SUPPRESSION SYSTEM Sewage Ejector or Sump Pump Other: Water Suppression System No.of Heads Chemical Suppression System 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 gran' . •f a permit only authorizes approved work and no deviations therefrom.Deviations must first be authorized in writing from the Building Official before being authorized un'-ran 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 t.e S ,to Contractors L. 18.2 RCW and 296.200A WAC. City of Everett Official Use Only ly ,, �/� PER IT# 0 er/Authori ed A.ent Sign: Date (Revised 10/10/2018)