417 49TH ST SW 2022-01-24 - Laserfiche WebLink

• • 4t-fr PERMIT APPLICATION BUILDING I MECHANICAL/ PLUMBING /SIGN I SPRINKLER I 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 j www.everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITEINFORMATION PROJECT SITE ADDRESS:417 49TH ST SW PROPERTY TAX#: 29043600408700 LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: TIPPI MATHISON TENANT BUSINESS NAME(Commercial): OWNER MAILING ADDRESS: sTREET417 49TH ST SW cmr EVERETT STATE WA zip 98203 OWNER PHONE: 425-770-8737 OWNER EMAIL:TIPPIMATHISON@COMCAST.NET CONTRACTOR NAME:GS HEATING CONTRACTOR ADDRESS: sreasr 3409 EVERETT AVE c,T EVERETT STATE WA ZIP 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 1]CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:425-610-4257 MELANIE MENDENHALL CONTACT EMAIL:MELANIE@GSHEATING.COM BUILDING INFORMATION Existing Use of Building:RESIDENTAIL Contract Price of Work:$12962.44 Proposed Use of Building:RESIDENTAIL Heat Source: ❑Gas IDEfectric ClOther BUILDING USE: DSFR @Townhouse ODuplex EIADU EMulti-Family-#Units: @Commercial ❑Accessory Structure Type of Project ❑New ElAddition EIRemodel ❑Repair ET.l. ESign ❑Sprinkler ❑Demolition EChange of Use DESCRIPTION OF WORK: HP INSTALL ASSOCIATED BUILDING PERMIT#(if applicable): MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION Fixture Fixture Fixture Fixture Count List of Fixtures Coupe List of Fixtures Count List of Fixtures Count List of Fixtures 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 i Heat Pump&Ductless Dishwasher Sink-Residential(kiitchen,bath,bar) Duct System(Remodel) Refrigeration Drinking Fountain Sink-Utility,laundry,mop Exhaust Fans(Residential) Commercial Ventilator 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) I 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 ofa 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.l am the owner,or 1 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 WAG. City of Everett Official Use Only 19/ ! PER// L rY1 Owner/AuthdiIze Agent Signature Date (Revised 10/10/2018)