9630 SHARON DR 2019-11-07 - Laserfiche WebLink

PERMIT APPLICATION BUILDING/MECHANICAL/PLUMBING/SiGN /SPRINKLER/ DEMOLITION AliPy%/--_ 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.gov/permits (Bluer or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS:9630 SHARON DR PROPERTY TAX#:00534100001600 LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: AMANDA GIOULIS , TENANT BUSINESS NAME(Commercial): OWNER MAILING ADDRESS: mem'9630 SHARON DR cry EVERETT STATE WA z,P 98204 OWNER PHONE: 4257726944 OWNER EMAIL:iNSTALL@GSHEATING.COM CONTRACTOR NAME:GS HEATING CONTRACTOR ADDRESS: STREET 3409 EVERETT AVE crry EVERETT STATE WA ZIP 98201 CONTRACTOR PHONE:425-252-4402 CONTRACTOR EMAIL:INSTALL@GSHEATING.COM CONTRACTOR LICENSE#(REQUIRED):GS HEAHC821QR ICITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 60058 PRIMARY CONTACT: ©OWNER 1:3 CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:425-252-4402 ALI SHA CLOGSTON CONTACT EMAIL:ALiSHA@GSHEATING.COM BUILDING INFORMATION Existing Use of Building:RESIDENTAIL Contract Price of Work:$ J OP1 6%0_9,--, Proposed Use of Building:RESIDENTAIL Heat Source: DGas DElectric DOther BUILDING USE: EJSFR DTownhouse :Duplex EADU OMulti-Family-#Units: ©Commercial DAccessory Structure Type of Project: :New ❑Addition °Remodel ❑Repair CIT.'. OSign OS rinkler ODernolition OChange of Use _ DESCRIPTION OF WORK: GAS FURNACE REPLACEMENT ASSOCIATED BUILDING PERMIT#(if applicable): + MECHANICAL PERMIT APPUCATION PLUMBING PERMIT APPLICATION Fixture Fixture Fixture Fixture_ Coum List of Fixtures CountList of Fixtures Count List of Rtxtures Count List of Rrxtures AiC—Air Handling Units "Gas Piping Backflow Preventer(Inside Bldg) Shower,Tub,or Combo Boiler Gas Range Clothes Washer Sink-Commercial(3-comp,prep,f oor) 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 WasteiWater Piping Repair - Exhaust Hood(Residential) Wood Stove Interceptor-Sand/Oil Water Service(behind meter) 1 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 uppression System i No,of Heads Chemical Suppression System I No.of Heads ` ACKNOWLEDGEMENT:1 have reviewed this application and confirm the information contained heroin is true and correct.Work done pursuant to this permit must compy 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-Nate Contractors Law 18.27 RCW and 296.200A WAC. { City of of Everett Official Use Only' q)54 11 P Ti#g,t/ I "011 Owner/AuthoHzed,A Signature Dace " (Revised 10Y10/2018)