705 92ND ST SE 2017-01-13 - Laserfiche WebLink

• PERMIT APPLICATION . BUILI�ING / MECHANICA� / PLUMBING / S(GN / SPRINKLER / DEMOLITION CITY OF EVEF2E7T PERMIT SERVICES 320� CEDAR STREET, EVERETT, WA 98201 (P) 425-257-8810 � FAX 425-257-8857 �(E) everetteps@everettwa.gov � www.everettwa.govlpermits (Blue or Black tnk Oniy Please) PROJEGT StTE lNFORMATION PROJECT SlTE ADDRESS: 7OJr S2tlCi StC. SE EVBt'ett WA SS2O8 PROPERTY TAX #: 00604300000300 LEGAL for new construction: 5hort Platlsubdivision Lot No. (attach copy of long Iegal description) CONTACT tNFORMATION OWNER NAME: Vernon Redden TENANT NAME (If Commercial): OWNER MAiLING ADDRESS: srR�Er 705 92nd St SE �,n, Everett STATE WA zia 98208 owtvER PHONE: 425-309-7311 OWNER EMAIL: chipper206@yahoo.com CONTRACTOR NAME: Andgar Corporation CONTRACTOR ADDRESS: srREEr 6920 Salashan Pkwy. A-102 PO Box 2708 ciTv Ferndale zia 98248 CONTRAGTOR PHONE: 360-366-9900 CONTRACTOR EM L: corporate@andgar.com CONTRACTOR LICENSE #(REQUIRED): ANDGAC'19102 CITY O NSE #(RE(1UIRE �: 24869 PRIMARY CONTACT: � OWNER �1 CONTRACTOR ❑ OTHER {Please Specify} CONTACT NAME: CONTACT PHONE: CQNTACT EMAIL: BUILDING PERMIT APPLICATION Existing Use of Buildin : Single Family Dwelling Contract Price of Work: $ 3,044.50 Proposed Use of Building: Heat Source: �Gas ❑Electric ❑Other Building Type: ❑SFR-Detached ❑SFR-Attached ❑Du lex ❑Multi-Family-# of Units: ❑Commercial ❑Industrial Ty e of Project: ❑New ❑Addition ❑Remodel ORepair ❑T.I. ❑Si n ❑S rinkler ❑Demolition ❑Change of Use DESCRIPTIQN OF WORK: Instail Furnace Like In Kind ASSOCIATED BUILDING PERMIT #(if aF� licable : MECHANICAL PERMIT A�PLICATION Type of Project: _New Addn _Alteration �Repair Fixtures tist of Fixtures Fixtu es tisf of Fixtures AlC — Air Handling Units Heat Pump � Forced Air S stems Unit Heater Cas Piping Boiler Water Heater Refrigeration Gas Fireplace Wood Stove Gas Range Ducting Clothes Dryer Hookups Other: Range Hood Exhaust Fan SPRINKLER / SUPPRESSI!)N SYSTEM Number of Heads PLUMBING PERMIT APPLlCAT10N Type of ProJect: New Addn _Alteration _Repalr Fixtu es List of Fixtures Fixfures List of Flxtures Toilet Backflow Preventer inside Bldg} Bathtub Urinal Lavatory {Wash Basin} Drinking Fountain Shower Fioor Drain Kitchen Sink & Disposa! Grease Trap Dishwasher Roof Drains Clothes Washer Medical Gas Water Heater Other: Sink {ServicefBar/Map/etc.) Other: ACKNOWLEDGEMENT� ! have reviawed this application and conlirm the informalion coniained harein is true and correct. Work done pursuant to this permit must comply with current federal, state, and local law. The granting ef a pe�mit onty aulhorizes approvad work and no deviations thsrefrom. Deviafions must frrsi be aulhorized in writrng from the Buitdin� �Hicial before being auUiorized under any circurnstance. 1 am the owner, o� 1 am aulhorized by the owner of this propeny to perform the work for which appfication is made, and I wmply with the Sfate Contractors Law 18.27 RCW and 296.200A WAC. Marla J Raske p�9�tally signed by Marla J FiBske OwnerlAuthorized Agent Signature City of Everett Officisl Use Only 10/21 /2016 PE IT � � � � � _^ � � U Date (Revised 9/23/2076)