4428 SEAHURST AVE 2017-07-14 - Laserfiche WebLink

PERMIT APPLICATION BUILDING I MECHANICAL/ PLUMBING/SIGN /SPRINKLER/ DEMOLITION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET,EVERETT,WA 98201 (P)425-257-8810 1 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: 4428 Seahurst Ave PROPERTY TAX#: 00505700001 503 LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: ann krolak TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET 4428 Seahurst Ave _ C,Y everettSTArr wa zP 98.203 OWNER PHONE: (425)258-1819 4 OWNER EMAIL: ' CONTRACTOR NAME: bobs heating CONTRACTOR ADDRESS: STREET 14148 n 190th st CITY Woodinville SLIM_ wa zip 98072 CONTRACTOR PHONE: 800-840-3346 CONTRACTOR EMAIL: osnell bobsheating.com CONTRACTOR LICENSE 1PNEQUIREDk bobshha853NQ CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 41 388 PRIMARY CONTACT: ❑ OWNER ®CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 206-378-6723 James gosnell CONTACT EMAIL: osnell bobsheatin .com BUILDING PERMIT APPLICATION - Existing Use of Building: Contract Price of Work:$. Proposed Use of Building Heat Source: ]Gas ' ❑Electric []Other Building Type: ❑SFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units: ❑Commercial ❑Industrial Type of Project: ❑New ❑Addition ❑Remodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: ASSOCIATED BUILDING PERMIT# if applicable): MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION Type of Project: New _ Addn Alteration Repair Type of Project: _New _Addn Altoration _Repair #of List of Fixtures �#of List of Fixtures #of--T—List of Fixtures #of List of Fixtures Fixtures Fixtures Fixtures Fixtures A/C—Air I l Fx"'g Units Heat Punic, Toilet Backflow Preventer(Inside Bldg) Forced Air Syslems Unit Heater Bathtub Urinal Gas Piping Boiler Lavatory(Wash Basin) Drinking Fountain Water Heater Refrigeration Shower Floor Drain Gas Fireplace Wood Stove Kitrhrn 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 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 fe eral,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 ficial 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 cc ly with the State Contractors Law 18.27 CW and 296.200A WAC. City of Everett Official Use Only 2/2/17 1, RMIT# � -- o Owner/ thor zed Agent Signature Dale fficvisud EV201201 fi)