10013 4TH AVE W 2021-02-23 - Laserfiche WebLink

• PERMIT APPLICATION • BUILDING / MECHANICAL/ PLUMBING / SIGN / SPRINKLER/ DEMOLITION EVERETT CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET,EVERETT,WA 98201 WASHINGTON (P)425-257-8810 I 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: 10013 4TH AVE W ' PROPERTY TAX#:280424001 01 1 00 LEGAL for new construction: Short Plat/subdivision (attach copy of long legal description) CON I aCT INFORrfT TION OWNER NAME: GILBERT LONNIE & JEANNIN TENANT BUSINESS NAME(Commercial): THE DIET CENTER OWNER MAILING ADDRESS: STREET 11222 ROOSEVELT WAY NE, #10 cmv' SEATTLE STATE WA zip 98125 OWNER PHONE: (206) 775-6725 OWNER EMAIL:hairlOnSter@netZerO.net CONTRACTOR NAME:GS Heating & Cooling LLC CONTRACTOR ADDRESS: STREET3409 Everett Ave cr., Everett STATE Wa zip 98201 CONTRACTOR PHONE:425-309-6507 CONTRACTOR EMAIL:JOnathan@gSheating.COm CONTRACTOR LICENSE#(REQUIRED):GSHEAHC821 QR CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 19685 PRIMARY CONTACT: ❑OWNER 0 CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:425-309-6507 Jonathan Farrell CONTACT EMAIL:Jonathan©gsheating.com BUILDING INFORMATION Existing Use of Building:Office Contract Price of Work: $8,000.00 Proposed Use of Building:Office Heat Source: OGas ❑Electric ❑Other BUILDING USE: ❑SFR Townhouse 7Duplex ❑ADU ❑Multi-Family-#Units: ✓❑Commercial IlAccessory Structure Type of Project: New Addition ❑Remodel ❑✓Repair T.I.❑ ❑Sign ❑Sprinkler Demolition ❑Change of Use DESCRIPTION OF WORK: Replacing heating and cooling system with like in kind and size system stASSOCIATED 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 1 A/C—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) 1 Refrigeration Drinking Fountain Sink-Utility, laundry,mop Exhaust Fans(Residential) Commercial Ventilatior Floor Drain Toilet Exhaust Hood(Type I) (Not Heat/AC system) Hose Bibb Urinal Exhaust Hood(Type II) Water Heater Interceptor-Grease Waste/Water Piping Repair Exhaust Hood(Residential) Wood Stove Interceptor-Sand/Oil Water Service(behind meter) 1 Forced Air Systems Other: Medical Gas Water Valves or Fixtures Gas Fireplace/Insert/Log Roof Drains Water Heater SPRINKLER/ 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.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 PERMI # yL( 7�a•Pi [/ f z4A i/J/J 8-25-20 L.XJ e ct - 05 ner/Authorized Agent Signature Date (Revised 10/10/2018) 1-7/