616 40TH PL 2022-04-29 - Laserfiche WebLink

■m= PERMIT APPLICATIO ELI BUILDIN ECHANICAL/ PLUMBING/SIGNIMPRINKLER/ 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:ICNFO1 INFORMATION PROJECT SITE ADDRESS: 616 40th PI PROPERTY TAX#: 00801900004700 LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: Debbie Richardson TENANT BUSINESS NAME(Commercial): OWNER MAILING ADDRESS: STREET 616 40th pl CITY Everett STATE Wa ZIP 98201 OWNER PHONE: 425-252-6609 OWNER EMAIL: 'LYY''.vi:a'C'aw,�a''n•..a..c:::... .,...._-<,»,�"',�i .� »3:�,:,:.., � .... ..-,..k w 3 r..�...^,a,:��.. w,.+,:. —.....�... :.r, _. ..,,....m. ,. CONTRACTOR NAME: Bob's Heating and Air Conditioning CONTRACTOR ADDRESS: STREET 14148 NE 190th St cm, Woodinville STATE WA ZIP 98072 CONTRACTOR PHONE: 800-840-3346 CONTRACTOR EMAIL: Ihoneycutt@bobsheating.com CONTRACTOR LICENSE#(REQUIRED): BOBSHHA853NQ CITY OF EVERETT BUSINESS LICENSE#(REQUi }: 54967 PRIMARY CONTACT: 0 OWNER El CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: Lucinda Honeycutt CONTACT PHONE:206-378-6735 CONTACT EMAIL: Ihoneycutt@bobsheating.com BUILDING INFORMATION Existing Use of Building: SFR Contract Price of Work:$ 4000.00 Proposed Use of Building: SFR Heat Source: ❑Gas DElectric ❑Other BUILDING USE: [XSFR ❑Townhouse ❑Duplex ❑ADU ElMulti-Family-#Units: CI Commercial ❑Accessory Structure Type of Project: CI New ❑Addition ❑Remodel L Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: like for like furnace replacement ASSOCIATED BUILDING PERMIT#(if applicable):,, MECHANICAL PERMIT APPLICATION *PMUMBiNG PERMIT APPLICATION Fixture Fixture Fixture Fixture List of Fixtures List of Fixtures List of Fixtures List of Fixtures Count count Count Count , NC—Air Handling Units Gas Piping Backflow Preventer(Inside Bldg) , Shower,Tub,or Combo Boller 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 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 lam 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 CithijL t ? LiVt Z^ 'U,1 PERMIT, vVV2� O Owner/Authorized Agent Signature Date /�f�\J (Revised 4l�19)