927 93RD ST SW 2019-08-19 - Laserfiche WebLink

03/26/2018 MON 9: 08 FAx 425 415 6867 Fast water Heater I2003/004 Fl 9 teo'< P1=RiIIIIT APPLICATION BUILDING I MECHANICAL I PLUMBING/SIGN/SPRINKLER/DEMOLITION ` j CITY OF EVERETT PERMIT SERVICES V r 3200 CEDAR STREET,EVERETT,WA 95201 (P)425.257.8810 I FAX 425-257-6857 I(E)everettepsc_.evereilwa,gov I www.everettws.gov/permlts Blue or Black Ink Only Please) PROJECT SITE INFORMATION • PROJECT SITE ADDRESS: (19 'OPD ST- 51,A) PROPERTY TAX##: 53.J O�v D aJ 1)• LEGAL for new construolloh: Snort Plat/subdtvIslon . ' _ Lot No. (attach copy of long legal description) CONTACT INFORIVIATION OWNER NAME: lei I BIS I � ftv-t 1 wipe. TENANT NAME(If Commercial): OWNER MAILING ADDRESS; ;TRW 1i -p �/y/� CI �/ '' ' I CITY % pb,/ V.. . . aTATEW, ..._.. ..._______21,5_462, _ OWNER PHONE: A 5 3 t ) 0 OWNER EMAIL: CONTRACTOR NAME: 'I'A ST kt.J Ai'e.g vi -pc-s- g•, _ CONTRACTOR ADDRESS: UMEEr '/y7�11�I5 N C1�Q.P�. P K.�-t S (; 1�f�(p 7V�9 /XJ�1n1 Crry 2 D 1 i"l i -� STATE13S. zip.` 1 17 l!.t \ . CONTRACTOR PHONE: 't pl S / (r ► CONTRACTOR EMAIL: 19V'R,V)1 � r S Ii-(-A5�-w/l.>;. `/LQ/ireir (, • 1 CONTRACTOR LICENSE#(REQUIRED): 1_wLt)I4O 1 13,6 CITY OF EVERETT BUSINESS LiCENSE fi(REQUIREG) 53 PRIMARY CONTACT: ❑OWNER CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: V \ yf CONTACT PHONE: `moi 05 •f0?'Ap -9-D,B' 1� �) ' - CONTACT EMAiL: ft-pirt(I/l.{- 5 4.�'�l "U�)�'t✓+� \j 4, C/61/V) • ' BUILDING PLRIUIIT APPLICATION IL Existing Use of Building: FQ . Contract Price of Work:$ t 1 ,, ..14,.., Proposed Use of Building: Sfig. Heat Source: as ClElectrIc CIOther . .. Building Type: jasFR-Detached DSFR•+Attached ©Duplex CIRRI-Family-#of Units: DCommercisl iJinduatrlal Type of Project: LINsw i lAddltion DRerpodel KILZ2pair CIT I. 17Sign ©Sprinkler ©Demolition ❑Change of Use DESCRIPTION OF WORK: - ASSOCIATED BUiILDING PERMIT#(If applicable): MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION Type of Project: _Jaw_ Acldn _Alteration _Repair Type of Project- Nov ,_Addn _Alteration _Repair 11 of List of Fixtures List of List of Fixture? #of List of Fixture- of 1.lst of f ixtyron • Fixtures Fixtures Fixtures Fixtures A/D-Air Handtlng UnIts Heat Pump Toilet Backflow P'-venter(inside Bldg) � Forced Air Systems Unit Heater = bathtub Urinal i Gas Pi in Boller Lava .j (Wash Basin) Drink!g F. !Main. _ Water Heater Refrigeration Shower Floor a n Gas Fireplace Wood Stove Kitche ink&Oisposai •-see Trap " Gas Range Ducting Oiehwssh, Roof Drains Clothes Dryer Hookups Other: - Clothes Washe Medical Gas Ranattood Water Heater -- Other: Exhaust Fan ,Sink . ; bar/Mop/etc.) Other: SPRIN�LBR--Sues emslog.S fsTEM ' arnica!or .of Heads _ ' ACl<NOWLESGEM NT.•I have reviewed this eppiication and confirm the information contained herein is true sad correct Work done pursuant to this permit must comply with current federal,,state,and local law.The granting of a permit ono/authorizes approved work and no deviations therefrom.Deviations must Arlt be euiho:tzed In writing from the llulIding Official before being outhunted under any circumstance.i em the owns;ori em authorised by the owner of this property to perform the work for which application is made, end I comply wilt the State Contractors haw 18.27 ROW end 29LW130A WAC lia r ,, QClly of Everett Official Use Only ''+, Ac ) 3 �f` .— ( l� PEGp Ov— 0 —2.....)-1 Own.r •uthor xot Signature Date Rev se 99`/23/201