3106 44TH ST SE 2019-08-08 - Laserfiche WebLink

'lipI I 'II PERMIT APPLICATION BUILDINdMECHANICAL/ PLUMBING /SIGN /SPRINKLER/ DEMOLITION - CITY OF EVERETT PERMIT SERVICES vitiii 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 INFORMATION PROJECT SITE ADDRESS: 3 1 b le q I/ -I It 9-2- cc,, 9$,0, PROPERTY TAX#: LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: J..4J V t ri 'fv,ti (`k TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET c,...4„,„„1,4- CITY , 4-CITY STATE ZIP OWNER PHONE: 2.X, -119 il Cl t/,T9 OWNER EMAIL: CONTRACTOR NAME: G© I", j%,t1 j11-9 1 CONTRACTOR ADDRESS: STREET i_��j 2 2( 47 4C n �6 circ'/G/ 0,01,6,,1) `7 STATE ez.)4/4: ZIP cY 2, t CONTRACTOR PHONE: CONTRACTOR EMAIL:-A fwd CsoZl�, ,,,, CONTRACTOR LICENSE#(REQUIRED):CQ-1.4-4.-3 (j.Z M , CITY OF EVERETT BUSINESS LICENSE#(REQUIRED):6LCM kj$ PRIMARY CONTACT: 0 OWNER FCONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: 6�� CO CONTACT PHONE: 36 � _ L/y c--- t/9,2..D CONTACT EMAIL:ky 1 e e /n{e COtr ,,,i,,„ ,f, BUILDING PERMIT APPLICATION Existing Use of Building: Contract Price of Work:$ SOF) Proposed Use of Building: Heat Source: 3Uas DElectric ❑Other Building Type: A'SFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family#of Units: ❑Commercial ❑Industrial Type of Project: ❑New Wddition 0 Remodel 0 Repair DTI. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: X r. '/tQ r-od/ f/e r T `g' /I l';-,--- ',- GSC ' ASSOCIATED BUILDING PERMIT#(if applicable): MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION Type of Project: New X 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 1 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 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 IOWA, PERMIT/It, ( r ^'�/, .� r//e `gyp i]V/lV UX��/w`j _ O ne • Olzed Agent . . .'e Date // (Revised 9/23/2016)