2525 RUCKER AVE 2023-06-22 - Laserfiche WebLink

PERMIT APPLICATIONO 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: 2525 RUCKER AVE PROPERTY TAX#:00562456001400 LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: SALVATION ARMY-CODE 26 &27-EV TENANT BUSINESS NAME(Commercial): SALVATION ARMY OWNER MAILING ADDRESS: STREET PO BOX 9219 cm, SEATTLE STATE WA ZIP 98109 OWNER PHONE: 509-496-5467 OWNER EMAIL:JEREMY.REEDY@USW.SALVATIONARMY.ORG CONTRACTOR NAME:GS HEATING &COOLING LLC CONTRACTOR ADDRESS: STREET3409 EVERETT AVE CITY 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 D FARRELL CONTACT EMAIL:JONATHAN D FARRELL BUILDING INFORMATION Existing Use of Building:NO CHANGE Contract Price of Work: $38,852.00 Proposed Use of Building:NO CHANGE Heat Source: ❑Gas DElectric ❑Other BUILDING USE: ❑SFR ETownhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: ✓❑Commercial ❑Accessory Structure Type of Project: ❑New ❑Addition ❑Remodel ❑✓Repair ❑T.l. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: Replacing existing electric furnace with new 15 seer heat pump systems ASSOCIATED 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 2 NC—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 2 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) 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 oof�Everett tOOfficial Use Only PERMI fGe2JE 5-1-19 Y�IT,#,�„ i L L © `J r ot Owner/Authorized Agent Signature Date (Revised 10/10/2018) l4_