11230 3RD AVE SE 2020-04-03 - Laserfiche WebLink

PERMIT APPLICATION BUILDING/MECHANICAL/PLUMBING/SiGN/SPRINKLER/DEMOLITION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET,EVERETT,WA 98201 (P)425-257-8810 ( 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: 11230 3rd Ave SE PROPERTY TAX#: 00573600000502 LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: Dianne Kinney TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET 11230 3rd Ave SE ciTv Everett STATE Wa ZIP 98208 OWNER PHONE: 425-686-2444 OWNER EMAIL: CONTRACTOR NAME: Bobs Heating CONTRACTOR ADDRESS: STREET 14148 NE 190th St crrr Woodinville STATE Wa ZIP 98072 CONTRACTOR PHONE: 800-840-3346 CONTRACTOR EMAIL: lhoneycutt @bobsheating.corn CONTRACTOR LICENSE#(REQUIRED):BOBS HHA8 5 3NQ CITY OF EVERETT BUSINESS LiCENSE#(REQUIRED): 054967 PRIMARY CONTACT: ❑OWNER VI CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: Lucinda Honeycutt CONTACT PHONE: 206-378-6735 CONTACT EMAIL: lhoneycutt@bobsheating.corn BUILDING PERMIT APPLICATION Existing Use of Building: S FR Contract Price of Work:$ 6500.00 Proposed Use of Building: SFR Heat Source: ❑Gas ❑Electric ❑Other Building Type: ❑SFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family#of Units: OCommercial El Industrial Type of Project: ❑New DAddition ❑Remodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: Add AC to existing hvac system ASSOCIATED BUILDING PERMIT#(if applicable): MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION Type of Project: New_ Addn ,Alteration _Repair Type of Project: _New _Addn _Alteration Repair #of List of Fixtures #of List of Fixtures #of List of Fixtures #of List of Fixtures Fixtures Fixtures Fixtures Fixtures 1 A/C—Air Handling Units Heat Pump Toilet Backflow Preventer(Inside Bldg) Forced Air Systems Unit Heater Bathtub Urinal Gas Piping Boiler Lavatory(Wash Basin) Drinking Fountain Water Heater- Refrigeration Shower Floor Drain Gas Fireplace Wood Stove Kitchen Sink&Disposal crease Trap Gas Range Ducting Dishwasher Roof Drains Clothes Dryer Hookups Other: Clothes Washer Medical Gas Range Hood Water Heater Other. Exhaust Fan Sink(Service/Bar/Mop/etc.) Other: SPRINKLER/SUPPRESSION SYSTEM Number of Heads ACKNOWLEDGEMENT.-t 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 focal 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 yji) 4__.- Owner/Authorized Agen ignature Date (Revised 5120/2016)