2022 VIRGINIA AVE 2023-05-23 - Laserfiche WebLink

PERMIT APPLICATION 4577 BUILDING/MECHANICAL 1 PLUMBING/SIGN/SPRINKLER i DEMOLITION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET.EVERETT,WA 98201 (P)425-257-8810 1 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:2022 VIRGINA AVE PROPERTY TAX#: 00401541702100 LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: ALICIA ADAMSON TENANT BUSINESS NAME(Commercial): OWNER MAILING ADDRESS: smeer2022 VIRGINA AVE cirr EVERETT sure WA MP 98201 OWNER PHONE: 425-330-6527 OWNER EMAIL:ALICIA.ADAMSON@COMCAST.NET CONTRACTOR NAME:GS HEATING CONTRACTOR ADDRESS: sTREET3409 EVERETT AVE clrr EVERETT STATE WA ZIP 98201 CONTRACTOR PHONE:425-252-4402 CONTRACTOR EMAIL:fNSTALL@GSHEATING.COM • CONTRACTOR LICENSE#(REQUIRED):GSHEAHC821 QR CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 60058 PRIMARY CONTACT: C OWNER El CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:425-252-4402 ALISHA CLOGSTON CONTACT EMAIL:ALISHA@GSHFEEATING.COM BUILDING INFORMATION Existing Use of Building:RESIDENTAIL Contract Price of Work:$5183,45 Proposed Use of Building:RESIDENTAiL ,Heat Source: L7Gas ❑Electric ❑Other BUILDING USE: DSFR ❑Townhouse ❑Duplex EADU ❑Multi-Family-#Units: ❑Commercial ❑Accessory Structure Type of Project: :New DAddition ©Remodel ❑Repair ❑T.l. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: GAS FURNACE INSTALLATION ASSOCIATED BUILDING PERMIT#(if applicable): MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION Fixture List of Fixtures F"'e"', Fixture Fixture Count countList of Fixtures Count List of Fixtures CountList 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 Heat Pump&Ductless Dishwasher Sink-Residential(kitchen,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 WasteNVater 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 1 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 ow The granting of a permit only authorizes approved work and no deviations therefrom.Deviations roust first be authorized in writing from the Building Official before being a thorized under any circumstance.I am the owner,or 1 am authorized by the owner of this properly to perform the work for which application is made, and I comply with the State Co tractors Law 18.27 RCW and 296.200A WAC. City of Everett Official i lse Only � �, oJ1c�l �� ' 1\0 -oSCo 4 ] Owner/Authorized:Age nature ( Da$e (Revi 10/10/2018)