Laserfiche WebLink
iiiii" PERMIT APPLICATION <br /> BUILDING I MECHANICAL I PLUMBING I SIGN I SPRINKLER I DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET,EVERETT,WA 98201 <br /> (P)425-257-8810 ) FAX 425-257-8857 I(E)everetteps@everettwa.gov I www.everettwa.gov/permits <br /> (Blue or Black Ink Only Please) PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS:1625 MCDOUGALL AVE PROPERTY TAX#: 00438833401300 <br /> LEGAL for new construction; Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME: JAMES BECKER TENANT BUSINESS NAME(Commercial): <br /> OWNER MAILING ADDRESS: srRe r 1625 MCDOUGALL AVE <br /> crrr EVERETT STATE WA Zip 98201 <br /> OWNER PHONE: 425-258-5754 OWNER EMAIL: <br /> CONTRACTOR NAME:GS HEATING - <br /> CONTRACTOR ADDRESS: srRear 3409 EVERETT AVE <br /> cnv EVERETT sure WA 21P 98201 <br /> CONTRACTOR PHONE:425-610-4257 CONTRACTOR EMAIL:MELANIE@GSHEATING.COM <br /> CONTRACTOR LICENSE#(REQUIRED):GSH EAHC821 QR CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 60058 <br /> PRIMARY CONTACT: °OWNER 0 CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE:425.610-4257 <br /> MELANIE MENDENHALL CONTACT EMAIL:MELANIE@GSHEATING.COM <br /> BUILDING INFORMATION <br /> Existing Use of Building:RESIDENTAIL Contract Price of Work:$6848.10 <br /> Prosed Use of Building:RESIDENTAIL Heat Source: OGas °Electric °Other <br /> BUILDING USE: EISFR °Townhouse °Du lex DADU ©Multi-Family-#Units: OCommercial DAccessory Structure <br /> Type of Project: °New °Addition DRemodel °Repair °T.I. °Sign °Sprinkler °Demolition °Change of Use <br /> DESCRIPTION OF WORK: 80 TO 90 GF SWAP <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Fixtureixture Fixture f=ixture <br /> Coin List of Fixtures Count Count of Fixtures Count List of Fixtures Count List of Fixtures <br /> NC—Air Handling Units Gas Piping Backflow Preventer(Inside Bldg) Shower,Tub,or Combo <br /> Boiler Gas Range Clothes Washer Sink-Commercial(3-oomp,prep,floor) <br /> Clothes Dryer Heat Pump&Ouctless^ Dishwasher Sink-Residential(kitchen,bath,bar) <br /> Duct System(Remodel) Refrigeration Drinking Fountain Sink-Utility,laundry,mop <br /> Exhaust Fans(Residential) Commercial Ventilatior Floor Drain Toilet <br /> Exhaust Hood(Type I) (Not Heat/AC system) Hose Bibb Urinal <br /> Exhaust Hood(Type II) Water Heater Interceptor-Grease Waste/Water Piping Repair <br /> Exhaust Hood(Residential) Wood Stove ,Interceptor-Sand/Oil Water Service(behind meter) <br /> 1 Forced Air Systems Other. Medical Gas Water Valves or Fixtures <br /> Gas Fireplace/Insert/Log Roof DrainsWater Heater <br /> SPRINKLER t SUPPRESSION SYSTEM Sewage Ejector or Sump Pump Other. <br /> Water Suppression System No,of Heads <br /> Chemical Suppression System J 'No,of Heads <br /> ACKNOWLEDGEMENT:!have reviewed this application and confirm the information contained herein is true and correct,Work done pursuant to this permit must comply with <br /> 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 <br /> Building Official before being authorized under any circumstance.lam the owner,ori am authorized by the owner of this property to perform the work for which application is made, <br /> and 1 comply with the State Contractors Law 18.27 RCW and 296.200A WAC. <br /> City of EverettOfficial Use Only <br /> PERI t y l ISI;\2' Di 2 <br /> OwnertAutha ized Agent Signature pate (Revised 10/10/2018) <br />