328 PARK PL 2019-09-24 - Laserfiche WebLink

PERMIT APPLICATION BUILDING I MECHANICAL I PLUMBING/SIGN I SPRINKLER 1 DEMOLITION '411.W14 411. CITY OF EVERETT PERMIT SERVICES ' ' 3200 CEDAR STREET,EVERETT,WA 98201 (P)425-257-8810 { FAX 425-257-8857 I(E)everetteps@everettwa.gov j'www.everettwa.gov/permits lus orBlack.Ink . :OnIyPI.ass CB : )::...::.::...,::;:PROJECT:SITE INFORMATION:.............:::::::::-.-:: :::::..::::;.:';::...:::.:::.:-:::::::::,:.::..:::::::: PROJECT SITE ADDRESS: 2, Lt._:r P( , PROPERTY TAX#: (X")(_c3 i,:07 (F,t�1,(-)-7 LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) . ....... .. . . :........ .:.::..:.......... �CONTACT.INFORMATION ...,............ v � . . ..... . ..... .... .......... .... OWNER NAME: �;l� \>��Dv ( TENANT BUSINESS NAME Commerrciaal). OWNER MAILING ADDRESS: smear -2)Z9Z cyPlei�cm, ( �j.Q/1 i- STA-1E WA zip 98203 OWNER PHONE: Ul'u. ��p7��3L OWNER EMAIL: CONTRACTOR NAME:GS HEATING CONTRACTOR ADDRESS: STREET 3409 EVERETT AVE • carr EVERETT STATE WA rp 98201 CONTRACTOR PHONE;425-252-4402 CONTRACTOR EMAIL:INSTALL@GSHEATING.COM CONTRACTOR LICENSE#(REQUIRED):GSHEAHC821 QR CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 60058 PRIMARY CONTACT: ❑OWNER ID CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:425-252-4402 DAWN WEIMER CONTACT EMAIL:DAWN@GSHEATING.COM BUILDING INFORMATION .. Existing Use of Building:RESIDENTAIL Contract Price of Work:$ . ,,___�_ Proposed Use of Building:RESIDENTAIL Heat Source; iziGas CDElectric ❑Other BUILDING USE: ❑SFR ❑Townhouse ❑Duplex DADU ❑Multi Family-#Units: ❑Commercial DAccessory Structure Type of Project: ❑New ❑Addition ✓❑Remodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolitlon ❑Change of Use DESCRIPTION OF WORK: ASSOCIATED BUILDING PERMIT#(if applicable): MECHANICAL-PERMIT APPLICATION : . PLUMBING.PERMIT.APPLICATION Fixture Fixture Fixture Fixture Count List of Fixtures count of Fixtures Count List of Fixtures Count List of Fixtures NC—Air Handling Units ) Gas Piping Backflow Preventer(Inside Bldg) Shower,Tub,or Combo Boiler Gas Range Clothes Washer Sink-Commercial(3-comp,prep,floor) Clothes Dryer Heat Pump&Ductless Dishwasher Sink-Residential(kitchen,bath,bar) Duct System(Remodel) Refrigeration Drinking Fountain Sink-Utility,laundry,mop Exhaust Fans(Residential) Commercial Ventilator Floor Drain Toilet Exhaust Hood(Type I) (Not Heat/AC system) Hose Bibb Urinal Exhaust Hood(Type II) Water Heater Interceptor-Grease Waste/Water Piping Repair Exhaust Hood(Residential) Wood Stove Interceptor-Sand/Oil Water Service(behind meter) Forced Air Systems Other: Medical Gas Water Valves or Fixtures Gas Fireplace/Insert/Log Roof Drains Water Heater SPRINKLER:!;SUPPRESSION SYSTEM:..,.. ... Sewage Ejector or Sump Pump Other. Water Suppression System I No.of Heads Chemical Suppression System No.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 i em authorized by the owner of this property to perform the work for which application is made, and f comply with the State Contractors Law 18.27 RCW and 296.200A WAC. City /ooffEverett Official Use Only PERK{ #�q v S - l 1`'1 Owner/A t ttAgeftSignature Date (Reviseds\ 10/10/2018)