1215 118TH PL SE 2020-01-23 - Laserfiche WebLink

ME PERMIT APPLICATION 1111 BUILDING / MECHANICAL/ PLUMBING / SIGN / SPRINKLER / DEMOLITION E V E R E T TCITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT,WA 98201 WASHINGTON (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:1215 118th PL SE PROPERTY TAX#:00575100001000 LEGAL for new construction: Short Plat/subdivision see attached Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: Trent Stoker TENANT BUSINESS NAME(Commercial): OWNER MAILING ADDRESS: STREET 1215 118th PI SE c„,, Everett STATE WA zip 98208 OWNER PHONE: 253-561-1651 OWNER EMAIL: CONTRACTOR NAME:Sundance Energy Services CONTRACTOR ADDRESS: sTREET224 192nd St SW cin, Bothell STATE WA ZIP 98012 CONTRACTOR PHONE:425-481-9660 CONTRACTOR EMAIL:sundanceenergy1@msn.com CONTRACTOR LICENSE#(REQUIRED):sundaes063j9 CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 32052 PRIMARY CONTACT: ❑OWNER El CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: CONTACT EMAIL: BUILDING INFORMATION Existing Use of Building:SFR Contract Price of Work: $600 Proposed Use of Building:SFR Heat Source: ❑Gas ElElectric ❑Other BUILDING USE: DSFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: ❑Commercial ❑Accessory Structure Type of Project: ❑New ❑Addition ❑✓Remodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: rerouting existing plumbing to new location of tankless water heater ASSOCIATED BUILDING PERMIT#(if applicable): MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION Fixture Fixture Fixture Fixture Count List of Fixtures count List of Fixtures Count List of Fixtures Count List of Fixtures A/C—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 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 Waste/Water Piping Repair Exhaust Hood(Residential) Wood Stove Interceptor-Sand/Oil Water Service(behind meter) Forced Air Systems Other. Medical Gas Water Valves or Fixtures Gas Fireplace/Insert/Log Roof Drains 1 Water Heater SPRINKLER/SUPPRESSION SYSTEM Sewage Ejector or Sump Pump Other: Water Suppression System No.of Heads Chemical Suppression System No.of Heads 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 bein authorized under any circumstance.lam 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 St e ontr ctors Law 18.27 RCW and 296.2004 WAC. City of Everett Official Use Only zi • / 7-19-19 PER Ki �� o Owner/Authorized A ent Sign ture Date (Revised 10/10/2018)