4401 31ST AVE SE 2019-09-09 - Laserfiche WebLink

PERMIT APPLICATION BUILDING/MECHANICAL 1 PLUMBING/SIGN/SPRINKLER i DEMOLITION 4ren. CiTY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET,EVERETT,WA 98201 (P)425-257-8810 1 FAX 425-257-8857 (E)everetteps@everettwa.gov 1 www.everettwa.gov/permits a:. ... ,,::;..:: :.:;; :.:..: ..;s O it�e:`or:<Black':Ink>;On1 .Please ::.:...:...:..... .. � Y. PROJECT::SiTE:INFORMAT .:.:::.: : ::r::::.::.,,:;. ": : :: :::::;:: :: : ::::::::::..-:.:::.. } ION......:. ....._ _::...:,:::.:::::::.:..;;:; : ::::. ;:-_:,::::; :;:::: :;: PROJECT SITE ADDRESS: (}\ Z.'ist A- j,�� PROPERTY TAX#: LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT.INFORMATION: .:.. .. :.: ... .: .: > . OWNER NAME: ,H jA ey-,,,:,,v-\ TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET L U^3:6 -,-).„A c-.:,*-,: - - CITY ,,Ai ,%-f,r, STATE ZIF ✓ir OWNER PHONE: ''UT- )()— 01-1:11-4 OWNER EMAIL: CONTRACTOR NAME: G&S HEATING CONTRACTOR ADDRESS: sTREEr 3409 EVERETT AVE OnY EVERETT STATE WA ZIP 98201 CONTRACTOR PHONE: 425-252-4402 CONTRACTOR EMAIL: DAWN@gSHEATING.COM CONTRACTOR LICENSE#(REQUIRED): GSHEAC*939RK CITY OF EVERETT BUSINESS LiCENSE#(REQUIRED): 019685 PRIMARY CONTACT: 0 OWNER E CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: DAWN WEIMER CONTACT PHONE: 425-252-4402 CONTACT EMAIL: DAWN@GSHEATING.COM ;:.::B ILDING;PERMITAPPWCATION...:: Existing Use of Building: RESIDENTIAL Contract Price of Work:$ (;^.r Proposed Use of Building: RESIDENTIAL Heat Source: ❑Gas L2Electric ❑Other Building Type: E$SFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units: / ❑Commercial ❑Industrial Type of Project CI New ❑Addition El Remodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: r• ASSOCIATED BUILDING PERMIT#(if applicable): >s.;MECHANiCAL:PERMIT:APPLICATION'Y..:.:::: :.. *) PLUMBING'PERMIT.APPLICATION<>s: '::: ':: :'.' Type of Project: New_ Addn `_Repair Type of Project: _New ,_Addn _Alteration Repair #of °List of Fixtures List of Fixtures #of List of Fixtures #of List of Fixtures Fixtures Fixtures Fixtures Fixtures A/C—Air Handling Units t 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: :SPRiINKLER";SUPPRESSION::SYSTEM;::; +: _.: 'Chemical or Water I INo.of Heads t 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 ofa 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 appllcatlon is made, and I comply with the State Contractors Law 18.27 RCW and 295.2004 WAC. ,rr City of Everett Official Use Only rr � PERMITM ' f" Owner/Authorised Agent Signature ' Date (Revised 9/23/2016)