2215 GRAND AVE 2020-03-06 - Laserfiche WebLink

PERMIT APPLICATION BUILDING!MECHANICAL 1 PLUMBING! SIGN/SPRINKLER/DEMOLITION /11111P/11.b%7/P- AiCITY 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 Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS:2215 GRAND AVE PROPERTY TAX#: 00439148200700 LEGAL for new construction; Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT.INFORMATION OWNER NAME: CHRISTIAN&JEANNE BUCHLER TENANT BUSINESS NAME(Commercial): OWNER MAILING ADDRESS: sTREer2215 GRAND AVE cnv EVERETT • STATE WA zip 98201 OWNER PHONE: 425-583-4877 OWNER EMAIL:CHRISTIANBUCHLER@YAHOO.COM CONTRACTOR NAME:GS HEATING CONTRACTOR ADDRESS: sTREEr3409 EVERETT AVE cm, EVERETT STATE WA zip 98201 CONTRACTOR PHONE:425-252-4402 CONTRACTOR EMAIL:INSTALL@GSHEATING.COM CONTRACTOR LICENSE#(REQUIRED):GSHEAHC821 QR CITY OF EVERETT BUSINESS UCENSE#(REQUIRED): 60058 PRIMARY CONTACT: 0 OWNER 0 CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:425-610-4257 MELANIE MENDENHALL CONTACT EMAIL:MELANIE@GSHEATING.COM BUILDING INFORMATION Existing Use of Building:RESIDENTAIL Contract Price of Work:$5006,95 Proposed Use of Building:RESIDENTAIL Heat Source: OGas ElEiectric ❑Other BUILDING USE: ©SFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: ❑Commercial ❑Accessory Structure Type of Project :New ❑Addition ©Remodel ❑Repair ❑T.I. ❑Sign OSprinkler ODemolition ❑Change of Use DESCRIPTION OF WORK: ASSOCIATED BUILDING PERMIT#(if ap licable): 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 NC—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 Ventilator 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'!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 being authorized under any circumstance.lam the owner,or 1 am authorized by the owner of this property to perform the work for which application is made, end I comply with the State Contractors Law 18.27 RCW and 296.200A WAC. City of Everett Official Use Only PERMIT#Vy' t 16 _00K, 444.1Ealk-e-0� Ib I Owner/Auth.bliZadAgent Signature Date (Revised 10/10/2016)