1313 HOYT AVE 2020-08-27 - Laserfiche WebLink

45.17PERMIT APPLICATION BUILDING 1 MECHANICAL 1 PLUMBING I SIGN /SPRINKLER I DEMOLITION CITY OF EVERETT PERMIT SERVICES 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:1313 HOYT AVE PROPERTY TAX#: 00438524500700 LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACTINFORMATION OWNER NAME: JACK CROSSEN TENANT BUSINESS NAME(Commercial): OWNER MAILING ADDRESS: STREET 1313 HOYT AVE ciTr EVERETT STATE WA ZIP 98201 OWNER PHONE: 425-802-8562 OWNER EMAIL: jackcrossen@gmail.com CONTRACTOR NAME:GS HEATING CONTRACTOR ADDRESS: sTReeT3409 EVERETT AVE cmy EVERETT STATE WA zJp 98201 CONTRACTOR PHONE:425-610-4257 CONTRACTOR EMAIL:MELANIE@GSHEATING.COM CONTRACTOR LICENSE#(REQUIRED):GSHEAHC821 QR CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 60058 PRIMARY CONTACT: ❑OWNER I]CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:425-610-4257 MELANIE MENDENAHLL CONTACT EMAIL:MELANIE@GSHEATING.COM BUILDING INFORMATION Existing Use of Building:RESIDENTAIL Contract Price of Work:$4535.40 ........ Proposed Use of Building:RESIDENTAIL Heat Source: )]Gas DElectric ❑Other BUILDING USE: DSFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: ❑Commercial ❑Accessory Structure Type of Project: ENew EAddition ❑✓Remodel ❑Repair ❑T.I. ESign ESprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: 80 TO 80 GF SWAP ASSOCIATED BUILDING PERMIT#(if applicable): 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 NC—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 Fxhaust Fans(Residential) Commercial Ventilatior Floor Drain Toilet Exhiust Hood(Type I) (Not Heat/AC system) Hose Bibb Urinal Exhaus Hood(Type II) Water Heater Interceptor-Grease Waste/Water Piping Repair Exhaus Hood(Residential) Wood Stove Interceptor-Sand/Oil Water Service(behind meter) 1 Force Air Systems Other. Medical Gas Water Valves or Fixtures Ga fireplace/insert/Log Roof Drains Water Heater ._+-SPINKLER I;SUPPRESSION SYSTEM Sewage Ejector or Sump Pump Other: Water Suppression System No.of Heads 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.1 am the owner,or!am authorized by the owner of this property to perform the work for which application is made, and!comply with the State Contractors Law 18.27 RCW and 296,200A WAC. City of Everett Official Use Only Licioi d • MT.12mc Tc2� Owner/AuthgizediAgent Signature Date (Revised 10/10/2018)