10905 3RD AVE SE 2019-11-14 - Laserfiche WebLink

14177- PERMIT APPLICATI011 BUILDING/MECHANICAL I PLUMBING/SIGN 1 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:Blaak:Ink_Only°:Please) PROJECT SITE INFORMATION . PROJECT SITE ADDRESS: I()C'0 7 :-37)16 A ik4 >i".'. PROPERTY TAX#:,,;3 0 S y q :22 9 .i } LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: '../;C T\{ n 1;i 1 yk' TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET j()CC 0,C,- 2/6 P.Ire ,C4 CITY f.:',1 Irk 44.: STATE .I/�/fc ZIP `F ,, i OWNER PHONE: 4' c_`-# ,—C—Q-1 I OWNER EMAIL: CONTRACTOR NAME: G&S HEATING CONTRACTOR ADDRESS: STREET 3409 EVERETT AVE CITY EVERETT STATE WA ZIP 98201 CONTRACTOR PHONE: 425-252- ---(31-ill CTOR EMAiL: DAWN@gSHEATING.COM CONTRACTOR LICENSE#(REQUIRED): CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 019685 PRIMARY CONTACT: ❑OWNER COCONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: DAWN WEIMER CONTACT PHONE: 425-252-4402 CONTACT EMAIL: DAWN@GSHEATING.COM ::...: :..:,.. :: ::.. ::::::..::BUILDING PERMIT.APPLICATION . Existing Use of Building: RESIDENTIAL Contract Price of Work:$ )€1 7,F-?i Proposed Use of Building: RESIDENTIAL Heat Source: ©Gas 2rElectric ❑Other Building Type: as FR-Detached DSFR-Attached ❑Duplex ❑Multi-Family-#of Units: ❑Commercial ❑Industrial Type of Project: ❑New (]Addition ❑Remodel ❑Repair ❑T.I. Sign ❑Sprinkler ©Demolition ❑Change of Use DESCRIPTION OF WORK: T •, fir,-. K rr c e0 PUille ASSOCIATED BUILDING PERMIT#(if applicable): MECHANiCAL..PERMIT;•APPLICATION PLUMBING PERMIT APPLICATION Type of Project: I New_ Addn Alteration _Repair Type of Project: New _Addn Alteration _Repair Fixtures List of Fixtures fres List of Fixtures Fixtu es List of Fixtures Fixtures List of Fixtures A/C—Air Handling Units k Heat Pump Toilet Backflow Preventer(Inside Bldg) Forced Air Systems Unit Heater Bathtub Urinal Gas Piping Boiler - Lavatory(Wash Basin) Drinking Fountain Water Heater Refrigeration Shower Floor Drain Gas Fireplace Wood Stove Kitchen Sink&Disposal Grease Trap Gas Range Ducting Dishwasher Roof Drains Clothes Dryer Hookups Other: Clothes Washer Medical Gas Range Hood Water Heater Other: Exhaust Fan Sink(Service/Bar/Mop/etc.) Other: ::SPRINKLER:'SUPPRESSION;SYSTEM:: Chemical or Water I INo.of Heads ACKNOWLEDGEMENT:1 have reviewed this application and confimi 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 end no deviations therefrom.Deviations must first be authorized in writing from the Building Official before being authorized under any circumstance.i am the owner,ori 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 P, PERMIjl „Ir. Owner/Authorized Adept Signature Date (Revised 9/23/2016)