3410 OAKES AVE B 2019-08-07 - Laserfiche WebLink

PERMIT APPLICATION BUILDING /MECHANICAL/PLUMBING/SIGN /SPRINKLER/DEMOLITION 411 -1'114.P/100Y:::4 CITY OF EVERETT PERMIT SERVICES J 3200 CEDAR STREET,EVERETT,WA 98201 (P)425-257-8810 I FAX 425-257-8857 1(E)everetteps@everettwa.gov I www.everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATIONp PROJECT SITE ADDRESS: 3410 Oe Elitr� .$Zo/ PROPERTY TAX#:(50-4.- al a z CZ9O C'1 LEGAL for new construction: Short Plat/subdivision'7i,i )0'r Mee). •1 gi/t,�Zb Lot NoZ434.Z (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: Jo inIA MG Nie.:; 1 1 TENANT NAME"(If Commercial): OWNER MAILING ADDRESS: STREET 2.(o Zo Be-l k VLt-t- t4-)ekr' lv G l 14- CITY I jQ( ,e V u L STATE U, jA ZIP 9 6 004 OWNER PHONE: 7,01.– ?(o3–O3Z'L OWNER EMAIL: Ja1,10 . McN)e:1) 3rYig, &piq'. ).cowl CONTRACTOR NAME: atTK__e CONTRACTOR ADDRESS: STREET CITY STATE ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: CONTRACTOR LICENSE#(REQUIRED): CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): PRIMARY CONTACT: )OWNER 0 CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: ';loN Ma*:1 I CONTACT PHONE: ' j6.. 9 63_ b-32,z, CONTACT EMAIL: 3e1r► . (\4 c 1\lC. I) sn,,(a Gyl,e„) .cow) BUILDING PERMIT APPLICATION Q Existing Use of Building: Contract Price of Work: l )oO U Proposed Use of Building:& . / .t7 j4. Heat Source: ❑Gas • e .- __ _ Building Type: ❑SFR-Detached ❑SFR-Attached ['Duplex ❑Multi-Family-#of Units: ❑Commercial ❑Industrial Type of Project: ONew ❑Addition ['Remodel ['Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition OChange of Use DESCRIPTION OF WORK: Coins+ . (J. y w 11,1. , -- All we I ) ,•� u,,,; •A IV3 (g, xlk3 J ASSOCIATED BUILDING PERMIT#(if applicable): 'A 2. l )C Lk Cj ' 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 o xtures #of List of Fixtures #of List of Fixtures Fixtures Fixtures Fixtures Fixtures NC–Air Handling Units I t Pump 3 Toilet Backflow Preventer(Inside Bldg) Forced Air Systems Unit Heater '2. Bathtub Urinal Gas Piping Boiler 4- Lavatory(Wash Basin) Drinking Fountain IWater Heater Refrigeration j Shower Floor Drain Gas Fireplace Wood Stove Kitchen Sink&Disposal Grease Trap Gas Range Ducting / Dishwasher Roof Drains I Clothes Dryer ookups Other: J Clothes Washer Medical Gas Range Ho NE Water Heater Other: Exhau an p Sink(Service/Bar/Mop/etc.) Other: / SPRINKLER I SUPPRESSION SYSTEM Chemical or Water I 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.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 PERMIT# //A., 'l,t.,//1...,N— 0 e�zed Agent Signature Date (Revised 9/23/2016)