112 SKYLINE DR 2019-11-07 - Laserfiche WebLink

47ETTPERMIT APPLICATION BUILDING/MECHANICAL/PLUMBING I SIGN i SPRINKLER/DEMOLITION 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 (Blue or Bleck Ink:Only;Please) ::::::::.......::PROJECT:SITE`INFORMATION. ............: PROJECT SITE ADDRESS:112 SKYLINE DR PROPERTY TAX#: 00520300000300 LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) OWNER NAME: TREVOR LISKA TENANT BUSINESS NAME(Commercial): OWNER MAILING ADDRESS: sTREEr 112 SKYLINE DR oily EVERETT STATE WA zip 98201 OWNER PHONE: 425-268-2844 OWNER EMAIL:ONEONE2DESiGN@GMAIL.COM CONTRACTOR NAME:GS HEATING CONTRACTOR ADDRESS: sTREET3409 EVERETT AVE ciry EVERETT STATE WA ZIP 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: D OWNER 0 CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:425-252-4402 ALISHA CLOGSTON CONTACT EMAIL:ALISHA@GSHEATING.COM BUILDiNG;INFORMATION Existing Use of Building:RESiDENTAIL Contract Price of Work:$ -t f+-'I-. Q Proposed Use of Building:RESIDENTAIL Heat Source: ❑Gas CIElectric DOther BUILDING USE: DSFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: ❑Commercial ❑Accessory Structure Type of Project: ❑New ❑Addition ✓❑Remodel ❑Repair ❑T.I. ❑Sign OSprinkler EDemolition ❑Change of Use DESCRIPTION OF WORK: HEAT PUMP AND AIR HANDLER REPLACEMENT ASSOCIATED BUILDING PERMIT#(if applicable): MECHANICAL:PERMIT-APPLICATION . ... . :.:PLUMSING:PiERMIT.APPLICATION :::. . Fixture Fixture Fixture Fixture Count List of Fixtures CountList 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 Ventilatior Floor Drain Toilet Exhaust Hood(Type I) (Not Heat/AC system) Hose Bibb Urinal Exhaust Hood(Type II) Water Heater interceptor-Grease WasteNVater Piping Repair Exhaust Hood(Residentlal) 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 W Chemical Suppression System No.of Heads ACKNOWLEDGEMENT:(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 l am authorized by the owner of this properly to perform the work for which application is made. and I comply with the State c•ntractors Law 18.27 RCW and 298.200A WAC. City of Everett Official Use Only IT 4' itdd. 1 i.C} PERM/Br v(GI 10- 6YQ/o Owner1Autt fJzetl�,pCgient Signature d0a ' (Revised 10/10/2018)