6420 BEVERLY BLVD B 2020-01-21 - Laserfiche WebLink

04/22/2019 20:33 #4160 P. 003/003 ILI PERMIT APPLICATION BUILDING/MECHANICAL/PLUMBING/SIGN/SPRINKLER 1 DEMOLITION EVERETT CITY OF EVERETT PERMIT SERVICES E 3200 CEDAR STREET,EVERETT,WA 98201 WASHINGTON (P)425-257-8810 I FAX 425-257-8857 1(E)everetteps. averettwa.gov I www.everettwa.gov/permits Ohm Or Ohl 'Ink O PIS .• :PIROJitc14.SITE INFORMATION ::. 7. . PROJECT SITE ADDRESS:6420_BEVERLY BLVD#B PROPERTY TAX#: LEGAL for new construction: Short Plat/subdivision _ Lot No. (attach copy of long legal description) ;:: . . -. .. .: .• .-.> . N. • GT�•IN1!4RMII�TION :;..:•• : :'. • �; .� : ::. .:.,:.. ,. .• .:, .• . .: , ,.:.: . .., OWNER NAME: BRIAN GREGORY TENANT BUSINESS NAME(Commercial): OWNER MAILING ADDRESS: STREET MY STATE ZIP OWNER PHONE:206.604.9711 .. TOWNER EMAIL: CONTRACTOR NAME:EYLANDER SALES&SERVICE CONTRACTOR ADDRESS: srnEET3601 EVERETT AVE cin EVERETT STATE WA zip 98201 CONTRACTOR PHONE:425.259.2161 CONTRACTOR EMAIL: CONTRACTOR LICENSE*REQUIRED):EYLANSSO42K2 [CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 016363 4.I v PRIMARY CONTACT: 0 OWNER O CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:425.231.2275 CORNELIUS eylander CONTACT EMAIL:jceylander©yahoo.cdom . . .. . . . .. <:: RUILDIM+lli-:I POR>AAATuON ::. : _ Existing Use of Building:SFR Contract Price of Work:$2200 Proposed Use of Building:SFR Heat Source: OGas DElectric DOther BUILDING USE DSFR ©Townhouse ODuplex ❑ADU ❑Multi-Family-#Units: . . OCommercial ❑Accessory Structure T../pe of Project: New Addition ❑Reodel EJ epaji- ig ETA. OSprinkler ❑Demolition ❑Chane ❑ ttts of Use DESCRIPTION OF WORK: REPLACE FURNACE ASSOCIATED BUILDING PERMIT#(if applicable): edirANicAL PESRMIr APPLICATION::: . -7:::::...`:.•;..:: : :: .,••.:•PLIr1MB1UTA':PORMIT'APPLICATI.ON: . .,.. - F9rture List of Fixtures "J° List of Fixtures Fixture List of Fixtures FixtureListof Fixtures • Count Clam Count Court AIC—Air Handling Units Gas Piping Backflow Preventer(Inside Bldg) Shower,Tub,or Combo Boiler 'Gats Ranges Olothes 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 E-xtraust Fens(Residential)' Commercial Ventilatior Floor Drain Toilet Exhaust Hood(Type I) (Not Heat/AC system) biose 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 Ilwll�llllw-'w111P11 IRI�IwIw•III1�I llgl Ilw�! III llllllwq�-' SPRINKL:RR 1..:.SIUAPROSSIAN.SYSTEMII:.•:': • Sewage Ejector or Sump Pump other. Water guppreeseon System "No.ciHeads Chemical Suppression System 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 Boding Official before being authorized under any circumstance./am the owner,ort am authorized by the owner of this property to perform the work for which application is made, and t comply with,e State Contractors Law 18.27 RCW and 296.200A WAC. / City ofEverett OfTrciai Use Only -�/ eiG24v7/7 PERMIT y /7�Ow -r r o- Agent Signature a (Revised 10/10/20118))/