2525 100TH ST SE 2019-08-20 - Laserfiche WebLink

01/24/2018 WED 13: 42 FAX Fast Water Heater /005/006 gb5 -E7- 44177PERMIT APPLICATION BUILDING/MECHANICAL I PLUMBING/SIGN/SPRINKLER I DEMOLITION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET,EVERETT,WA 98201 (P)425-257-8810 I FAX 425-257-8857 I(E)everettapgaeverauwa.gov I w,wd.everettwa.gav/permItt • (Eine or Block Ink Onl Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: 525 LP PROPERTY TAX#: I)S1 03 1 It y LEGAL for new conetructlon: Short Piet/subdivision Rat No, (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: li O 17g - _ TENANT NAME(if Commercial): --- OWNER MAILING ADDRESS: sTaar• c05d` I a � s Dm? vr�i -e,- f STATE (A174-- SF / 8 • OWNER PHONE: 11 3 -j (p I1n3 OWNER EMAIL: CONTRACTOR NAME! f Si- &) e VASA-Mk CONTRACTOR ADDRESS: IRREer �y7�`/\�...1'5 W Difi, - , . L ( I (' (p Ctry 'k/ V l T -L._. STATE , r ZIP ' ( • k CONTRACTOR PHONE: (--1,9 5 •3L D 1 CONTRACTOR EMAit.; ' E m a S " i, A' J +Qrr�i1'e' . M5A4 CONTRACTOR LICENSE#(REQUiRED):fiCt—1"W1/J 1-"t q H 3 . ICI7Y OF EVERETT BUSINESS LICENSE#(REQUIRED) 3 PRIMARY CONTACT: CI OWNER t.;.CONTRACTOR ❑OTHER(Please Specify) , CONTACT NAME: V /� ` CONTACT PHONE: -O,/LI� ('�5, c��,--9-71 l�T� � 1 � - CONTACT EMAIL_ LeA ,I--5 pt '1` i vW/L� 1� I„,r. yl) BUILDING PERMIT APPLICATION Exrstln• Use of Bufldin•: • VAIIIIIIIMIIIIMIIMEEIMMIIIRM - Proposed Use of Building: K Heat Source: h i as DEleotrlc t:Other Building Type: (*FR-Detached DSFR Attached Duplex rIMultl-Family-#of Units; I]Commerctal Dlndustrfai Type of Project: ©New ClAddltfan C1Rentodel agfROpeir q7.1. ClSlgn C]5frinkler DDemolttlon ❑Change of Use DESCRIPTION OF WORK: f \ni\ 0\i' , / re4) A.Ce GpiS w a--k-eAr \/\e a,.-t- r ASSOCIATED WILDING PERMIT#if applicable): - , .1 MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION Type of Project: _New _ Addn _Alteration Iteration _Repair Type of Project: „ New _Addn _Alteration _Repair • Fixtures LW'of Fixtures F/xtures List of Fixtures FRU List of Fixtures resy u List of F' urea ee NC-•Alr Handling-Units Heat Pump To Backflow Prev: ..:r(inside Bldg)- Forced Air Systems Unit Heater R-thtub -Urinal Gas Piping Boller L.:veto r(Wash Basi Drinking P ntaln I Water Heater Refrigeration S,ower Floor D n Gas Fireplace ' Wood Stove KIS hen Stnk 8.Disposal Gnat•-e Trap Gee Range Ducting Die,washer ;•of Drains Clothes Dryer Hookups Other: Clot'=a Washer i edlcal Gas Range Hood Water -eater O' =r; Exhaust Fan _._ Sink(Se •ckm%bar/Mop/e Otho• SPRIN.. - • • ESSIO • -'M r emical or W- ' • ,.Oft-leads ACKNOWLFDGEM$N7:/have rev/awed this application end confirm the information contained herein/a true end correct. Work done pursuant to this permit must comply with current federal,state,and local law.The granting ale permit only authorizes approved work end no deviations therefrom.Deviations must first be authorised in writing from the Braiding Official belbte being authorized undereny circumstance.1 em the owner,or I em authorized by the owner of this properly to perform the work for which application la made, end I comply With the Slate Conlreotoce Law 18,27 ROW and 29&200A WAC City of Everett Official Use Only 4' ,../: � \ -ate P -' SO -- o� ,,Own: •uthorte Ag Signature " Date (Revised 9/23/20141 ""