904 WESTMINSTER CIR 2019-11-07 - Laserfiche WebLink

PERMIT APPLICATION 477- BUILDING I MECHANICAL/PLUMBING I SIGN 1 SPRINKLER 1 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 Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: g''3`'� p„ (,''fir , - ugh, PROPERTY TAX#: LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: ‘NA 1,„16) 5)/3,i TENANT BUSINESS NAME(Commercial): OWNER MAILING ADDRESS: STREET 9 cur \,IUB Ns,'cw V, C.I ,L2_, CITY �,�y eA STATE WA zip 98203 OWNER PHONE: -7. --2,3- - (.4 CS--;‘)t, OWNER EMAIL: CONTRACTOR NAME:GS HEATING CONTRACTOR ADDRESS: sTREaT3409 EVERETT AVE aiTY EVERETT STATE WA zP 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: ❑OWNER 0 CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:425-252-4402 DAWN WEI MER CONTACT EMAIL:DAWN@GSHEATI BUILDING INFORMATION ��-jam Existing Use of Building:RESIDENTAiL Contract Price of W. $ kn--- r1)Ov 0 Proposed Use of Building:RESIDENTAIL Heat Source: OGas ! -- •- =• er BUILDING USE: 2ISFR ❑Townhouse ❑Duplex DADU ❑Multi-Family-#Units:_ ❑Commercial ❑Accessory Structure Type of Project: ❑New ❑Addition ©Remodel ❑Repair ❑T.1. ❑Sign ❑S rinkler ❑Demolition DChange of Use DESCRIPTION OF WORK: apnk� [v. Uvw10 t&� ,co O' * , ASSOCIATED BUILDING PERMIT#(if applicable): MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION FbrtureF&wre Fixture Fixture ant 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 BoilerGas 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 1) (Not Heat/AC system) Hose Bibb Urinal Exhaust Hood(Type 11) Water Heater Interceptor-Grease Waste/Water Piping Repair ust Hood(Residential) Wood Stove interceptor-Sand/Oil Water Service(behind meter) _ •-arced Air Systems Other Medical Gas Water Valves or Fixtures 1Gas Fireplace/Insert/Log Roof Drains Water Heater SPRINKLER/SUPPRESSION SYSTEM Sewage Ejector or Sump Pump Other. Water Suppression System j INo.of Reads Chemical Suppression System 1 No,of Meads 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 1 am authorized by the owner of this property to perform the work for which application Is made, and!comply with the State Contractors L '18.27 RCW and 296.200A WAC. City of Everett Official Use Only 3 PERMIT# V\i\ q_C)IS '-' ()SF Owngiriputhmizgdi.Agent Signature Date • (Revised 10/10/2018)