3425 SNOHOMISH AVE 2024-10-16 - Laserfiche WebLink

PLUMBING PERMIT APPLICATION EVERETT SUBMITTAL INSTRUCTIONS: OF EVERETT PERMIT SERVICES S: Drop off hard copy completed paper application to 3200 Cedar Street 2nd Floor Intake Drop Box. WASHINGTON CONTACT INFORMATION: (P)425-257-8810 1(E)PermitServices@everettwa.gov I(W)everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: STREET 3425 Snohomish AVE PARCEL#: 00561900201200 clTr Everett STATE WA zIP 98201 SUITE/UNIT#: FLOOR#: ADDITIONAL LOCATION INFORMATION: TENANT/BUSINESS NAME(if non-residential): CONTACT INFORMATION OWNER NAME:KELLEHER BRIAN P & DETUERK KIMBERLEY OWNER MAILING ADDRESS: STREET 3425 SNOHOMISH AVE clTv Everett STATE WA zip 98201 OWNER PHONE:425-232-5858 OWNER EMAIL: CONTRACTOR COMPANY NAME:GS Mechanical LLC WA STATE CONTRACTOR LICENSE#(REQUIRED):GSMECML795RW CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 047137 CONTRACTOR ADDRESS: STREET PO Box 65 clTv Redmond STATE WA z1p 98073 CONTRACTOR PHONE:206-372-0332 CONTRACTOR EMAIL:greg@gsmechanicalshop.com PRIMARY CONTACT: 0 OWNER ❑ CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:206-372-0332 Greg Smalling CONTACT EMAIL:greg@gsmechanicalshop.com PLUMBING PERMIT INFORMATION VALUATION OF WORK: $1500 ASSOCIATED PERMIT#(if applicable): (Valuation shall include the prevailing fair market value of all labor,materials,and equipment needed to complete the work,whether actually paid or not.) BUILDING TYPE: ZISFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: ❑Commercial ❑Accessory Structure DESCRIPTION OF WORK: Replace existing domestic gas fired water heater with new AO Smith ENT-50 electric. PLUMBING PERMIT FIXTURE COUNT (SCOPE OF WORK) Fixture Fixture Count List of Fixtures Count List of Fixtures (Qty) (Qty) Backflow Prevention Device(Inside Building)-select devices below: Shower,Tub,or Combo Fire Service: ❑DCDA, Domestic Service: ❑RPBA❑DCVA Commercial Sink(3-compartment,prep,floor) Clothes Washer Residential Sink(kitchen,bath,bar) Dishwasher Utility Sink(laundry,mop) Drinking Fountain Toilet Floor Drain Urinal Hose Bibb Waste/Water Pipe Repair Ice Maker Water Service Line(Behind meter,private side) Grease Interceptor Water Valves/Fixtures Sand/Oil Interceptor 1 Water Heater-Electric Medical Gas Water Heater-Gas Roof Drains Other(List Type): Sewage Ejector Pump/Sump Pump 1 1 Other(List Type): ACKNOWLEDGEMENT:1 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.1 am the owner,or 1 am authorized by the owner of this property to perform the work for which application is made, and 1 comply with the State Contractors Law 18.27 RCW and 296.200A WAC. City of Everett Official Use Only Digitlly signedRoca Irina Rosca Datea2024.06 2b1 019:15 58507'00' PERMIT# Owner/Authorized Agent Signature Date (Revised 4/21/2022)