3310 31ST DR 2019-09-09 - Laserfiche WebLink

PERMIT APPLICATION BUILDING IMECHANICAL/PLUMBING !SIGN!SPRINKLER/ DEMOLITION /1111#4‘,N-f—A— CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET,EVERETT,WA 98201 (P)425-257-8810 I FAX 425-257-8857 I(E)everetteps©everettwa.gov I www.everettwa.govlpermits (Blue or:Black Ink 7Only:Please) :.:..:.:::. .:... PROJECT.SITE.INFORMATION ...... PROJECT SITE ADDRESS: (1 '3,VIC Vt) PROPERTY TAX#: 0 l 45 atioNeiCO LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) ...:CONTACT INFORMATION OWNER NAME: (.per P c t b,, TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET 1510 ",. OP CITY tVa J STATE “A:frcz7P q ib I OWNER PHONE: Cbc---c3— 12. OWNER EMAIL: CONTRACTOR NAME: G&S HEATING CONTRACTOR ADDRESS: STREET 3409 EVERETT AVE CITY 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 C(CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: DAWN WEIMER CONTACT PHONE: 425-252-4402 CONTACT EMAIL: DAWN@GSHEATING.COM BUILDING PERMIT APPLICATION Existing Use of Building: RESIDENTIAL Contract Price of Work:$ q C OD-C6 — Pro osed Use of Building: RESIDENTIAL Heat Source: ❑Gas JZJ Electric ❑Other Building Type: CffSFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units: ❑Commercial ❑Industrial Type of Project ONew ❑Addition ❑Remodel ❑Repair ❑TA. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: � 1)QCk - s 1k. A-- cRvome On 'be,kv ASSOCIATED BUILDING PERMIT#(if applicable): MECHANICAL PERMIT.APPL TION' : PLUMBING PERMIT APPLICATION Type of Project: New Addn (Alts _Repair Type of Project: New _Addn Alteration _Repair #of List of Fixtures #of List of Fixtures #°f List of Fixtures #°f List of Fixtures Fixtures fixtures Fixtures Fixtures NC—Air Handling Units 1 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.:..:..:: Chemical or Water I INo.of Heads ACKNOWLEDGEMENT:1 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 1 am authorized by the owner of this properly to perform the work for which application Is made, and I comply with the State Contractors Law 18.27 RCW and 298.200A WAC. I `/� "'� 4 City`of EverettEvOfficial Use Only (/!/ t H l� PERMIT` l�O COg Owner/Authorized Agent Signature Date (Revised 9/23/2016) \ '/2