10102 31ST AVE SE 2019-08-08 - Laserfiche WebLink

Sep 06 2018 02:31PM Washington Watr—maters 8663757454 page- 477PERMIT APPLICATION BUILDING 1 MECHANICAL I PLUMBING 1 SIGN I SPRINKLER 1 DEMOLITION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET.EVERETT,WA 98201 (P)425-257-8810 i FAX 425-257-8857 1(E)everetteps( everettwa.gov 1 www.everettwa.govlpermits Blue or Black Ink Only Please) PROJECT SITE INFORMATION ,� PROJECT SITE ADDRESS: t b r 0 Q 1 '4 p PROPERTY TAX#: /'6 2 3„#i-00 LEGAL for new constiuction: Short Platisubdivision_ Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: 5f/4a 1 Il` b�6 ), Imo./ f TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET ,0 10 2 ,z,../I �w l�r-e S cr, Util--. 5TATe WA— V> 93 2 OF OWNER PHONE: CO6_o/} j j'q/. r-DOWNER EMAIL: CONTRACTOR NAME: WA 1Aju1Th- V)�}"rr6 . IC6--/C5- CONTRACTOR L 5 G �1aX �j CONTRACTOR ADDRESS: STREET 111 S 7.—,h 1 l 4. 5 P "f'�72.6 p �jj r ciTv R aj d i I STATE tiff I'� ZIP L kj_5ff CONTRACTOR PHONE: 426483- q 7f p{ CONTRACTOR EMAIL: to/-�(,f �/'t#L CZ6mig1Li (ern CONTRACTOR LICENSE#(REQUIRED): tn)/t" iOtf to CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): Q 3i16161 PRIMARY CONTACT: 0 OWNER .CONTRACTOR 0 OTHER(Please Specify) r{ / CONTACT NAME' CONTACT PHONE: 2y- 3–'7 g 7/ / U f I DL11I-6 Is CONTACT EMAIL: Gi,W vh-H>r tt�@ 6 1L C,ey/'r BUI DING PERMIT APPLICATION Existing Use of Building: Ie -1z aLS' Contract Price of Work:$___ Proposed Use of Building: Heat Source: ©Gas 0 Electric ©Other Building Type: ❑SFR-Detached DSFR-Attached DDuplex DMultl-Family-#of Un'ts: _ DCommercial Dlndustrial Type of Project: [New DAddition DRernodel DRepair DT.I. DSign DSprinkler DDemolition DChange of Use DESCRIPTION OF WORK:e.-eintrit-e. Qt-gea4 /ottL . gaj �� 1 il-g�_ilee) ASSOCIATED BUILDING PERMIT#(if applicable): MECHANICAL PERMIT APPLICATIONPLUMBING PERMIT APPLICATION �� Type of Project New— Addn Alteration _Repel Type of Project: _New Addn Alteration Repair ";;ti #of List of Fixtures #of List of Fixtures #of List of Fixtures #of List of Fixtures Fixtures Fixtures Fixtures Fixtures _ NC—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 FireplaceWood 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 I SUPPRESSION SYSTEM 'Number 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,stele,and focal 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 circumsta�nAce.I am the owner,or 1 am authorized by the owner of this property to perform the work for which application is made. and comply inn the Slate Contractors Law 18.27 ROW e�Fdi'25s.200,4 WAC. City of Everett Official Use Only LUAU/14 / , 1 to L,J\.} 9- - PERMIT# QD7- 6n / SI O 0 nerlAuthorized Agent Signature Date (Revised 5/20i2016)