2117 CEDAR ST 2019-10-31 - Laserfiche WebLink

4-77 PERMIT APPLICATION BUILDING/MECHANICAL I PLUMBING/SIGN/SPRINKLER I DEMOLITION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET,EVERETT,WA 98201 (P)425-257-8810 1 FAX 425-257-8857 I(E)everetteps@everettwa.gov[ www.everettwa.gov/permits (Blue or Black ink Only Please) ;: :PROJECT.SITE INFORMATION PROJECT SITE ADDRESS:2117 CEDAR ST ,PROPERTY TAX#: 00516444800900 LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT.:INFORMATION OWNER NAME: MICHELLE CONLEY TENANT BUSINESS NAME(Commercial): OWNER MAILING ADDRESS: sTREEr2117 CEDAR ST carr EVERETT STATE WA ZIP 98201 OWNER PHONE: 206-979-6414 OWNER EMAiL:SILK DRAGONS@YAHOO.COM CONTRACTOR NAME:GS HEATING CONTRACTOR ADDRESS: STREET3409 EVERETT AVE cErr EVERETT STATE WA ZIP 98201 CONTRACTOR PHONE:425-252-4402 CONTRACTOR EMAIL:INSTALL@GSHEATING.COM CONTRACTOR LICENSE#(REQUIRED):GSH EAHC821 QR CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 60058 PRIMARY CONTACT: ❑OWNER EI CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:425-252-4402 ALISHA CLOGSTON CONTACT EMAIL:ALISHA@GSHEAT ING.COM BUILDING INFORMATION Existing Use of Building:RESIDENTAIL Contract Price of Work:$5308.95 Proposed Use of Building:RESIDENTAIL Heat Source: OGas DElectric ❑Other BUILDING USE: ISFR :Townhouse ❑Duplex EADU ❑Multi-Family-#Units: ❑Commercial OAccessory Structure Ty e of Project: ❑New :Addition :Remodel ERe2air ❑T.I. ❑Sign :Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: ELECTRIC FURANCE CONVERSION TO FURANCE 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 A/C—Air Handling Units 1 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 Ventilation 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) I 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 No.of Heads ACKNOWLEDGEMENT I have revieweithis application and confirm the information contained herein is hue and correct Work done pursuant to this permit must comply with current federal,state,and local law.The ranting of a permit only authorizes approved work and no deviations therefrom.Deviations must first be authorized in writing from the Building Official before being aythorized nder any circumstance.I am the owner,or I am authorized by the owner of this property to perform the work for which application is made, and I comply with the State Cd4octors w 18.27 RCW and 296.200A WAC. i City of Everett Official Use Only ilik I�� "1/t t i tvr PEFd�I '^ o/j -t2s - OwnedAutharFzeilAgent S3g?lat9'r V Date (Revised 10/10/2018)