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7015 BEVERLY BLVD 2020-08-27
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7015 BEVERLY BLVD 2020-08-27
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Last modified
8/27/2020 7:56:35 AM
Creation date
8/27/2020 7:56:28 AM
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Address Document
Street Name
BEVERLY BLVD
Street Number
7015
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PERMIT APPLICATION <br /> 014-77 .BUILDING/MECHANICAL/ PLUMBING /SIGN I SPRINKLER/ DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET,EVERETT,WA 98201 <br /> (P)425-257-8810 1 FAX 425-257-8857 1(E)everetteps@everettwa.gov 1 www.everettwa.gov/permits <br /> (Blue or Black Ink Only Please) PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS:7015 BEVERLY BLVD SW PROPERTY TAX#: 28050700102800 <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME: BRANDON O'HARA TENANT BUSINESS NAME(Commercial): <br /> OWNER MAILING ADDRESS: sTREET7015 BEVERLY BLVD SW <br /> cry EVERETT STATE WA <br /> zp 98203 <br /> OWNER PHONE: (425)210-5069 OWNER EMAIL:OHARABRANDON1@GMAIL.COM <br /> CONTRACTOR NAME:GS HEATING • <br /> CONTRACTOR ADDRESS: STREET 3409 EVERETT AVE <br /> cm' EVERETT STATE WA LP 98201 <br /> CONTRACTOR PHONE:425-610-4257 CONTRACTOR EMAIL:MELANIE@GSHEATING.COM <br /> CONTRACTOR LICENSE#(REQUIRED):GSHEAHC821 QR CITY OF EVERETT BUSINESS LICENSE#(REQUIRED); 60058 <br /> PRIMARY CONTACT: ❑OWNER 0 CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE:425-610-4257 <br /> MELANIE MENDENHALL CONTACT EMAIL:MELANIE@GSHEATING.COM <br /> BUILDING INFORMATION <br /> Existing Use of Building:RESIDENTAIL Contract Price of Work:$18506.91 <br /> Proposed Use of Building:RESIDENTAIL Heat Source: ❑Gas ❑Electric ©Other <br /> BUILDING USE: OSFR ❑Townhouse ❑Duplex DADU ❑Multi-Family-#Units: ❑Commercial ❑Accessory Structure <br /> Type of Project: ONew ❑Addition ©Remodel ❑Repair ❑T.1. ESign ❑Sprinkler ❑Demolition ❑Change of Use <br /> DESCRIPTION OF WORK: <br /> HP INSTALL <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> MECHANICAL PERMIT APPLICATION " PLUMBING PERMIT APPLICATION <br /> Fixture List of Fixtures Fixiuro Fixture Fixture <br /> Count Count Count of Fixtures Count List of Fixtures Count List of Fixtures <br /> AJC—Air Handling Units Gas Piping Backflow Preventer(Inside Bldg) Shower,Tub,or Combo <br /> Boiler Gas Range Clothes Washer Sink-Commercial(3-comp,prep,foor) <br /> Clothes D er 1 Heat Pump&Ductless Dishwasher Sink-Residential(kitchen,bath,bar) <br /> Duct System(Remodel) Refrigeration Drinking Fountain Sink-Utility,laundry,mop <br /> Exhaust Fans(Residential) Commercial Ventilatior Floor Drain Toilet <br /> Exhaust Hood(Type 1) (Not Heat/AC system) Hose Bibb Urinal <br /> Exhaust Hood(Type ill Water Heater Interceptor-Grease Waste/Water Piping Repair <br /> Exhaust Hood(Residential) Wood Stove Interceptor-Sand/Oil Water Service(behind meter) <br /> Forced Air Systems Other: Medical Gas Water Valves or Fixtures <br /> Gas Fireplace/Insert/Log Roof Drains Water Heater <br /> SPRINKLER I SUPPRESSION SYSTEM Sewage Ejector or Sump Pump Other. <br /> Water Suppression System No.of Heads <br /> Chemical Suppression System "No.of Heads ' <br /> ACKNOWLEDGEMENT.'I have reviewed this application end confirm the Information contained herein is true and correct.Work done pursuant to this permit must comply with <br /> 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 <br /> Building Official before being authorized under any circumstance.I am the owner,or f am authorized by the dwner of this property to perform the work for which application is made, <br /> and I comply with the State Contractors Law 18.27 RCW and 296.200A WAC. <br /> City of Everett Official Use Only ' <br /> PERCV yct <br /> _ .- 1 .-,-Q-P 1� I t 11- i of I SI(` l 12— p�3 <br /> .� Pr <br /> Owner/Authorized Agent b �gnature Date (Revised 10/10/2018) <br />
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