804 LOCUST ST 2019-11-06 - Laserfiche WebLink

PERMIT APPLICATION— BUILDING PPLICATION"1111111111H1414 BUILDING / MECHANICAL/ PLUMBING/SIGN /SPRINKLER/ DEMOLITION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET,EVERETT,WA 98201 (P)425-257-8810 I FAX 425-257-8857 1(E)everetteps@everettwa.gov i www.everettwa.gov/permits > ‘1: PROJECT SITE ADDSSW�O&LOCUST ST PROPERTY TAX#:00459200100000 T RI= LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONT .> . OR:ti , . k 4. OWNER NAME: HOUSING AUTHORITY OF EVERETT TENANT BUSINESS NAME(Commercial): OWNER MAILING ADDRESS: STREET PO BOX 1547 3107 COLBY AVE cr r Everett STATE Wa ZIP 98206 OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME:G&S Heating CONTRACTOR ADDRESS: STREET 3409 EVERETT Ave cmy EVERETT STATE WA zip 98201 CONTRACTOR PHONE:425-610-4257 CONTRACTOR EMAIL:JONATHAN@GSHEATING.COM CONTRACTOR LICENSE#(REQUIRED):GSHEAC*939RK CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 19685 PRIMARY CONTACT: 0 OWNER 0 CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:425-309-6507 JONATHAN FARRELL CONTACT EMAIL:JONATHAN@GSHEATING.COM Existing Use of Building:no change Contract Price of Work:$20,200.00 Proposed Use of Building:no change Heat Source: ❑✓Gas ❑Electric ❑Other BUILDING USE: ❑SFR ❑Townhouse ❑✓Duplex ❑ADU EMulti-Family-#Units: ❑Commercial ❑Accessory Structure Type of Project: ❑New ❑Addition ❑Remodel ❑✓Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: Replacing heating system with like in kind and size system ASSOCIATED BUILDING PERMIT#(if applicable): MECHANI L PERMT A m,.,14:0 PLUMBING f Eomit ` oo 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 Ventilatior 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 1 Water Heater ''Spiti****f.01000EssitkS STI M , Sewage Ejector or Sump Pump Other: Water Suppression System No.of Heads Chemical Suppression System No.of Heads 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 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 am authorized by the owner of this property to perform the work for which application is made, and I comply with the State Contractors Law 18.27 RCW and 296.200A WAC. City of Everett Official Use Only I �// PERMIT [.61/LC1li �. p-a4 L 3-12-19l� Owner/Authorized Agent Signature Date (Revised 11/110/21018)