3020 GEDNEY ST 2020-05-04 - Laserfiche WebLink

• PERMIT APPLICATION '111111:A., BUILDING/MECHANICAL I PLUMBING/SIGN I SPRINKLER/DEMOLITION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET,EVERETT,WA 98201 (P)425-257-8810 I FAX 425-257-8857 (E)everetteps@everettwa.gov I www.everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: 3020 Gedney Street I Everett WA 98201 PROPERTY TAX#: 00437672501700 LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: Steven Hall TENANT NAME(If Commercial): OWNER MAILING ADDRESS: smEEr 6121 NE 175th St B402 crry Kenmore STATE WA zip 98028 OWNER PHONE: 360-961-3638 ,OWNER EMAIL:reviveproperties@comcast.net CONTRACTOR NAME: n/a �, CONTRACTOR ADDRESS: STREET CITY STATE ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: CONTRACTOR LICENSE#(REQUIRED): CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): PRIMARY CONTACT: Qi OWNER 0 CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:360-961-3638 Steve Hall CONTACT EMAIL: R.61V I✓ 'P P6'P7/ N!oM BUILDING PERMIT APPLICATION Existing Use of Building:SFR Contract Price of Work:$30,000 Proposed Use of Building:SFR Heat Source: ❑Gas MElectric ❑Other Building Type: ®SFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units: ❑Commercial ❑industrial Type of Project ❑New ❑Addition ❑Remodel ®Repair ❑T.I. ❑Sign ❑Sprinkler ®Demolition ❑Change of Use DESCRIPTION OF WORK:D e M&L!TI D' 'O Fx l 57-1A/G 6.4 - - ASSOCIATED BUILDING PERMIT#(if applicable): E 1712-010 p1712-002 •- - MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION Type of Project _New_ Addn Alteration _ Repair Type of Project _New Addn Alteration Repair List of Fixtures List of Rxtures List of Fixtures List of Fixtures Rxtures Fixtures Fixtures Rxtures NC—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 Grease 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 Chemical or Water I No.of Heads ACKNOWLEDGEMENT:I have reviewed this application and confirm the information contained herein is hue 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 298.200A WAC. City of Everett Official Use Only • PERMIT tlt U ZOO&-- Ir16 Owner/Authorized Agent Signature •- (Revised 9/23/2016)