2501 59TH ST SW 2019-08-13 - Laserfiche WebLink

467-1- PERMIT APPLICATION BUILDING / MECHANICAL/ PLUMBING /SIGN /SPRINKLER / DEMOLITION CITY OFEVERETT PERMIT SERVICES 3200 CEDARrj ORIGINAL STREET, EVERETT,WA 98201 (P)425-257-8810 I FAX 425-257-8857 1 (E)everetteps@everettwa.gov I www.everettwa.gov/permits PROJECT SITE INFORMATION PROJECT SITE ADDRESS:2501 51141 �/�f (JlJ, j PROPERTY TAX#:/)/) { Z� lc Q�`�no/5C)0LEGAL for new construction: Short Plat/subdivision Lot No. (attach copylof long legal description) CONTACT INFORMATION OWNER NAME: H nn0 \44j rn TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREETZ I Z?Th ,c1- (,(1 `'. CITY �vP,(€1-- STATE VV ZIP q/ 7d VVV OWNER PHONE: 9�j7� '1 7 1-1O7-1 OWNER EMAIL:, \ U CI.__ �! i /J/ .ro� CONTRACTOR NAME:El UL F �` CONTRACTOR ADDRESS: STREET-1 & ZZ0-t''1 3-1-- l(AJ #` ///111 T CITY Plou Talc. T�vra Ge- STATE r ZIP q q l CONTRACTOR PHONE: 1-115----71, ----1 IS6i CONTRACTOR EMAIL: 1 r)1-0 pl�J��la cam/l / �U/}7 CONTRACTOR LICENSE#(REQUIRED): L.(1b EF----13,,t---7-ii a CITY OF EVERETT BUSINESS LICENSE#(REQUIRED):( / ��n. '/ PRIMARY CONTACT: ❑ OWNER J�CONTRACTOR ❑ OTHER (Please Specify) V �r CONTACT 11NAME: �In /{ Q ( CONTACT PHONE: v(p� 17i - --/Na/\VIIYi0U1,Y 1 a- �ii-� CONTACT EMAIL: jflf Ifte_l(! rierc,��r BUILDING PERMIT APPLICATION Existing Use of Building: Contract Price of Work:$ --70()(5 Proposed Use of Building: Heat Source: ❑Gas ❑Electric ❑Other Building Type: J `FR-Detached ❑SFR-Attached 0 Duplex ❑Multi-Family-#of Units: ❑Commercial [-Industrial Type of Project: .•❑11 New Addition ❑Remodel ❑Repair ❑T.I. DSign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: /46/ C 051—a ASSOCIATED BUILDING PERMIT#(if applicable): MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION Type of Project: _New >' Addn _Alteration _Repair Type of Project: New _Addn _Alteration _Repair #of #of #of #of Fixtures List of Fixtures Fixtures List of Fixtures List of Fixtures List of Fixtures Fixtures Fixtures A/C—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 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 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,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 WAD. 1 / City of Everett Official Use Only (./ 1 51PERMIT 63_ c 7G `I , ^ — Owne Autnzed Aaswli•na ,re Date (Revised 10/12/2015)