4129 GRAND AVE 2020-03-06 - Laserfiche WebLink

PERMIT APPLICATION ra 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 1 FAX 425-257-8857 1(E)everetteps@everettwa.gov 1 www.everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: 4129 Grand Ave Everett, WA PROPERTY TAX#: LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: Sharyl Fisher Smith TENANT BUSINESS NAME(Commercial): OWNER MAILING ADDRESS: STREET PO Box 7081 CITY Bellevue STATE WA ZIP 98008 OWNER PHONE: --- OWNER EMAIL: d.acct9@gmail.com CONTRACTOR NAME: The Art Of Plumbing CONTRACTOR ADDRESS: STREET 7501 NE 158th St CITY Kenmore STATE WA ZIP 98028 CONTRACTOR PHONE: 425-828-3050 CONTRACTOR EMAIL: service@theartofplumbing.com theartofplumbing.com CONTRACTOR LICENSE#(REQUIRED): ARTPL**970JH CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 040990 PRIMARY CONTACT: 0 OWNER D CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 425-828-3050 Sean Daly CONTACT EMAIL: service@theartofplumbing.com BUILDING INFORMATION I Existing Use of Building: Contract Price of Work:$ 3,000.00 Proposed Use of Building: Heat Source: ❑Gas ❑Electric DOther 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: Move 30gal Elec Hot Water Tank from kitchen to laundry room ASSOCIATED BUILDING PERMIT#(if applicable): W,0(eta vul-tirA/ illiWAI 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:emperng Vlv Medical Gas Water Valves or Fixtures , Gas Fireplace/Insert/Log Roof Drains 1 Water Heater h,v\„6141 j Oil SPRINKLER/SUPPRESSION SYSTEM Sewage Ejector or Sump Pump Other: n li 1(/ Water Suppression System No.of Heads I V\ Abu) ,v2i.pvV 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.I am 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 I .Ar- r��( , �_ t,� ,,,,, PERT"'` II/ /�t—� Owner/Authorized Agent Signature Date (Revised 0/10/20148) `f