1308 GRAND AVE 2017-05-24 - Laserfiche WebLink

PERMIT APPLICATION BUILDING 1 MECHANICAL i PLUMBING i SIGN /SPRINKLER/ 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:1308 Grand Ave PROPERTY TAX#: LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of tong legal description) CONTACT INFORMATION OWNER NAME: Nancy He land TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET 1308 Grand Ave ciTy Everett STATE VY��/ A zip 98201 OWNER PHONE: 425-252-3752 1OWNER EMAIL: CONTRACTOR NAME: Nordstrom Heating &Air CONTRACTOR ADDRESS: STREET 4717 87th Ave NE ciTy Marysville STATE WA zip 98270 CONTRACTOR PHONE: 4255-335-4429 CONTRACTOR EMAIL:nordstromha@comcast.net CONTRACTOR LICENSE#(REQUIRED): nordsha884jW ICITY OF EVERETT BUSINESS LICENSE#(REQUIRED):942741 PRIMARY CONTACT: ❑OWNER a CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:425-335-4029 Jason or Debbie CONTACT EMAIL:nordstromh8 comcast.net BUILDING PERMIT APPLICATION Existing Use of Building' lContract Price of Work:'$2949.00 Proposed Use of Building: I Heat Source: 21Gas ❑Electric ❑Other Building Type: OSFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units: ❑Commercial ❑industrial Type of Project: 0New ❑Addition ❑Remodel ❑Repair ❑T.I. ❑Sign ❑S rinkier ❑Demolition ❑Chan e of Use DESCRIPTION OF WORK: like in kind furnace replacement ASSOCIATED BUILDING PERMIT#(if applicable): MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION Type of Project: New Addn Alteration Repair Type of Project: New _Addn Alteration Repair #of List of Fixtures #of List of Fixtures #of List of Fixtures #of List of Fixtures Fixtures Fixtures Fixtures Fixtures A/C-Air Handling Units Heat Pump Toilet Backflow Preventer(inside Bldg) 1 Forced Air Systems Unit Heater Bathtub Urinal Gas Piping Boiler Lavatory(Wash Basin) Drinking Fountain Water Heater Refrigeration Shower Floor Drain Gas Fireplace Wood Stove Kitchen Sink&Disposal Grease Trap Gas Range Ducting Dishwasher Roof Drains Clothes Dryer Hookups Other: Clothes Washer Medical Gas Range Hood Water Heater Other: Exhaust Fan Sink(Service/Bar/Mop/etc.) Other: SPRINKLER/SUPPRESSION SYSTEM Number of Heads I I # 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 t comply with the State Contractors Law 18.27 RCW and 296.200A WAC. City of Everett Official Use Only Debbie Elgin PERMIT LI, D Owner/Authorized Agent Signature Date (Revised 9/23/20 6) I