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2022 VIRGINIA AVE 2023-05-23
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2022 VIRGINIA AVE 2023-05-23
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5/23/2023 9:40:15 AM
Creation date
5/22/2023 9:24:10 AM
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Address Document
Street Name
VIRGINIA AVE
Street Number
2022
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PERMIT APPLICATION <br /> 4577 BUILDING/MECHANICAL 1 PLUMBING/SIGN/SPRINKLER i DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET.EVERETT,WA 98201 <br /> (P)425-257-8810 1 FAX 425-257-8857 1(E)everetteps@everettwa.gov I www.everettwa.gov/permits <br /> (Blue or Black Ink Only Please) PROJECT SiTE INFORMATION <br /> PROJECT SITE ADDRESS:2022 VIRGINA AVE PROPERTY TAX#: 00401541702100 <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME: ALICIA ADAMSON TENANT BUSINESS NAME(Commercial): <br /> OWNER MAILING ADDRESS: smeer2022 VIRGINA AVE <br /> cirr EVERETT sure WA MP 98201 <br /> OWNER PHONE: 425-330-6527 OWNER EMAIL:ALICIA.ADAMSON@COMCAST.NET <br /> CONTRACTOR NAME:GS HEATING <br /> CONTRACTOR ADDRESS: sTREET3409 EVERETT AVE <br /> clrr EVERETT STATE WA ZIP 98201 <br /> CONTRACTOR PHONE:425-252-4402 CONTRACTOR EMAIL:fNSTALL@GSHEATING.COM • <br /> CONTRACTOR LICENSE#(REQUIRED):GSHEAHC821 QR CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 60058 <br /> PRIMARY CONTACT: C OWNER El CONTRACTOR ❑OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE:425-252-4402 <br /> ALISHA CLOGSTON CONTACT EMAIL:ALISHA@GSHFEEATING.COM <br /> BUILDING INFORMATION <br /> Existing Use of Building:RESIDENTAIL Contract Price of Work:$5183,45 <br /> Proposed Use of Building:RESIDENTAiL ,Heat Source: L7Gas ❑Electric ❑Other <br /> BUILDING USE: DSFR ❑Townhouse ❑Duplex EADU ❑Multi-Family-#Units: ❑Commercial ❑Accessory Structure <br /> Type of Project: :New DAddition ©Remodel ❑Repair ❑T.l. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use <br /> DESCRIPTION OF WORK: GAS FURNACE INSTALLATION <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Fixture List of Fixtures F"'e"', Fixture Fixture <br /> Count countList of Fixtures Count List of Fixtures CountList of Fixtures <br /> A/C—Air Handling Units Gas Piping Backflow Preventer(Inside Bldg) Shower,Tub,or Combo <br /> Boiler Gas Range Clothes Washer Sink-Commercial(3-comp,prep,floor) <br /> Clothes Dryer Heat Pump&Ductless Dishwasher Sink-Residential(kitchen,bath,bar) <br /> Duct System(Remodel) Refrigeration Drinking Fountain Sink-Utility,laundry,mop <br /> Exhaust Fans(Residential) Commercial Ventilator Floor Drain Toilet <br /> Exhaust Hood(Type I) (Not Heat/AC system) Hose Bibb Urinal <br /> Exhaust Hood(Type II) Water Heater Interceptor-Grease WasteNVater Piping Repair <br /> Exhaust Hood(Residential) Wood Stove Interceptor-Sand/Oil Water Service(behind meter) <br /> 1 Forced Air Systems Other. Medical Gas Water Valves or Fixtures <br /> Gas Fireplace/Insert/Log Roof Drains Water Heater <br /> SPRINKLER 1 SUPPRESSION SYSTEM Sewage Ejector or Sump Pump Other: <br /> Water Suppression System No.of Heads <br /> Chemical Suppression System No.of Heads <br /> 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 <br /> 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 <br /> 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, <br /> and I comply with the State Co tractors Law 18.27 RCW and 296.200A WAC. <br /> City of Everett Official i lse Only <br /> � �, oJ1c�l �� ' 1\0 -oSCo 4 ] <br /> Owner/Authorized:Age nature ( Da$e (Revi 10/10/2018) <br />
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