4705 GLENWOOD AVE 2020-03-06 - Laserfiche WebLink

PERMIT APPLICATION 4.17BUILDING/MECHANICAL I PLUMBING/SIGN I SPRINKLER 1 DEMOLITION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET,EVERETT,WA 98201 (P)425-257-8810 I FAX 425-257-8857 1(E)everetteps©everettwa.gov I www.everettwa.gov/permits (Blue or:Black.Ink:Only P1 )::::::.. PROJECT SITE INFORMATION:::.:..:.. ... PROJECT SITE ADDRESS: 1-11K-A,Cyt,-.,t,--,4. C. PROPERTY TAX#: 60"c ricl (' ,.„ LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long Legal description) OWNER NAME: ci,Vivk tZ/ oL,\_— TENANT BUSINESS NAME(Commercial): OWNER MAILING ADDRESS: sTReEr L.{'')ttc' ksalik uva,, olTr _A.) A:14 - STATE WA ZIP 98203 OWNER PHONE: f'M -- 2_\i—I OWNER EMAIL: CONTRACTOR NAME:GS HEATING CONTRACTOR ADDRESS: STREET 3409 EVERETT AVE crry EVERETT STATE WA ZJP 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 El CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:425-252-4402 - DAWN WEIMER CONTACT EMAIL:DAWN@GSHEATING.COM BUILDING INFORMATION Existing Use of Building:RESIDENTAIL Contract Price of Work:$ \€ Z.)(0. ';,) Proposed Use of Building:RESIDENTAIL Heat Source: ❑Gas IL(Electric DOther BUILDING USE: SFR ❑Townhouse ❑Duplex EADU ❑Multi-Family-#Units: - ❑Commercial DAccessory Structure Type of Project: ❑New ❑Addition ©Remodel ❑Repair DTA. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: ' bL � .\ CA r\,wL-p ASSOCIATED BUILDING PERMIT#(if applicable): .MECHANICAL:PERMIT APPLICATION . .......... ....PLUMBING.PERMIT APPLICATION Fixture Fixture Fixture Fixture Count List of Fixtures List of Fixtures Count List of Fixtures Couni List of Fixtures CountNC—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 Water Heater .:SPRINKLER F SUPPRESSION:SYSTEM:. Sewage Ejector or Sump Pump Other. Water Suppression System No.of Heads Chemical Suppression System - I 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 being 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 State Contractors Law 18.27 RCW and 296.200A WAC. City of Everett Official Use Only ,z-- � �� P # �05 ..-05 31 Owner/#�ditt; �ed;�ABent Signature Date (Revised 10/10/20 18)