4812 GARDNER AVE 2020-07-13 - Laserfiche WebLink

"ow PERMIT APPLICATION BUILDING/MECHANICAL I PLUMBING/SIGN/SPRINKLER/DEMOLITION CITY OF EVERETT PERMIT SERVICES y 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: 4812 Gardner Ave .PROPERTY TAX#: 00417400003402 LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: Holly Petersen TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET 4 812 Gardner Ave CITY Everett STATE Wa ZIP 98203 OWNER PHONE: 206-330-9010 OWNER EMAIL: CONTRACTOR NAME, Bobs Heating CONTRACTOR ADDRESS: STREET 14148 NE 190th St CITY Woodinville STATE Wa ZIP 98072 CONTRACTOR PHONE: 800-840-3346 CONTRACTOR EMAIL: lhoneycutt@bobsheating.corn CONTRACTOR LICENSE#(REQU)RED):BOB S HHA8 5 3NQ CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 054967 PRIMARY CONTACT: 0 OWNER Ca CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: Lucinda Honeycutt CONTACT PHONE: 206-378-6735 CONTACT EMAIL: lhoneycutt@bobsheating.com BUILDING PERMIT APPLICATION Existing Use of Building: SFR Contract Price of Work:$ 11000 . 00 Proposed Use of Building: Heat Source: ❑Gas ❑Electric E3 Other Building Type: ❑SFR-Detached ❑SFR-Attached ODuplex ❑Multi-Family-#of Units: ❑Commercial ❑Industrial Type of Project: ❑New ❑Addition ❑Remodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: like for like furnace replacement, add air conditioning and Ductwork 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) 1 Forced Air Systems Unit Heater Bathtub Urinal Gas Piping Boiler Leveto (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(ServicetBarlMopletc.) Other: SPRINKLER/SUPPRESSION SYSTEM I Number of Heads a 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 comp! with the State Contractors La 18.27 RCW and 296.200A WAC. City of Everett Official Use Only L PERMIT# 11/13/18 (Sl _06 Owner/Authorized Agent Signature ( Date (Revised 012016)