603 VERALENE WAY SW 2019-09-24 - Laserfiche WebLink

PERMIT APPLICATION BUILDING/MECHANICAL/ PLUMBING/SIGN I SPRINKLER 1 DEMOLITION /1111POIA CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET,EVERETT,WA 98201 (P)425-257-8810 1 FAX 425-257-8857 1(E)everettepsieverettwa.gov I www.everettwa.gov/permits (Blue or:Black.ink.Oniy.Please)... :PROJECT SITE INFORMATION .:: .... . .. PROJECT SITE ADDRESS:603 VERALENE WAY SW PROPERTY TAX#:00708000012900 LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) TA F ATI N:.:.:..-..........: OWNER NAME: DANIEL GOSSETT TENANT BUSINESS NAME(Commercial): OWNER MAILING ADDRESS: STReET603 VERALENE WAY SW crit EVERETT STATE WA ZIP 98203 OWNER PHONE: 425-737-2983 OWNER EMAIL:DAN.GOSSETT@COMCAST.NET CONTRACTOR NAME:GS HEATING CONTRACTOR ADDRESS: SrREET3409 EVERETT AVE crrr EVERETT STATE WA ZIP 98201 CONTRACTOR PHONE:425-252-4402 CONTRACTOR EMAIL:I NSTALL@GSHEATING.COM CONTRACTOR LICENSE#(REQUIRED):GSHEAHC821 QR CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 60058 PRIMARY CONTACT: ❑OWNER Ei CONTRACTOR El OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:425-252-4402 ALISHA CLOGSTON CONTACT EMAIL:ALISHA@GSHEAT[NG.COM BUILDING:INFORMATION Existing Use of Building:RESIDENTAIL Contract Price of Work:$5447.89 Proposed Use of Building:RESIDENTAIL Heat Source: ElGas ❑Electric DOther BUILDING USE: MSFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units:_ ❑Commercial ❑Accessory Structure Type of Project: ENew ❑Addition ORemodel DRepair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition EChange of Use DESCRIPTION OF WORK: INSTALLATION OF DUCTLESS HEAT PUMP ASSOCIATED BUILDING PERMIT#(if applicable): MECHANICAL:PERMIT APPLICATION PLUMBING PERMIT APPLICATION . .. .. Fixture Fixture Fixture Fixture Count List of Fixtures count List 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 i 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 11) 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 No.of Heads Chemical Suppression System 1 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 bel authorized under any circumstance.I am the owner,or 1 am authorized by the owner of this property to perform the work for which application is made, and/comply with the Stat Contractors Law 18.27 RCW and 296.200A WAC. r, City of Everett Official Use Only CcS) I 1410 PERMIIA (901_ 0-1s Owner/Authot73ed-Al ntSignature (,Date I (Revised 10/10/2018)