2403 MAPLE ST 2017-10-24 - Laserfiche WebLink

! • PERMIT APPLICATION BUILDING/MECHANICAL/ PLUMBING/SIGN /SPRINKLER/DEMOLITION CITY OF EVERETT PERMIT SERVICES OL 3200 CEDAR STREET,EVERETT,WA 98201 (P)425-257-8810 I FAX 425-257-8857 I(E)everetteps@everettwe.gov I www.everettwa.gov/permits Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: 2403 Maple St PROPERTY TAX#: 29052000401000 LEGAL for new construction: Short Plat/subdivision Lot No._ (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: Ralph Potterf TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET 2403 Maple St CIN Everett STATE W ZIP 98201 OWNER PHONE: 425-350-5602 OWNER EMAIL: CONTRACTORNAME: Bobs Heating CONTRACTOR ADDRESS: STREET 14148 NE 190th St L,N Woodinville STATE W Z,P 98072 CONTRACTOR PHONE: 800-840-3346 CONTRACTOR EMAIL: lhoneycutt@bobsheating. com CONTRACTOR LICENSE#(REQUIRED):BOBS HHA8 5 3 NQ CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 054967 PRIMARY CONTACT: ❑OWNER M CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: Lucinda Honeycutt CONTACTPHONE: 206-378-6735 CONTACT EMAIL: lhoneycutt@bobsheating. com BUILDING PERMIT APPLICATION Existing Use of Building: SFR Contract Price of Work:$ 4000.00 Proposed Use of Building: lHeat Source: IIZGas ❑Electric ❑Other Building Type: ❑SFR-Detached ❑SFR-Attached ❑Du lex ❑Multi-Famil -#ofUnits: ❑Commercial ❑Industrial Type of Project: ❑New ❑Addition ❑Remodel INRepair ❑T.I. ❑SI n ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: like for like furnace repalcement 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 AIC—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 lWood Stove Kitchen Sink&Disposal lGrease Trap Gas Range Ducting Dishwasher Roof Drains Clothes Dryer Hookups Other: Clothes Washer Medical Gas Range Flood 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 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 1 comply with the State Contractors Lew 18.27 RCW and 296.200A WAC. City of Everett Official Use Only 8/8/17 II b' 44-'N //� PERMI # ^ r� l 9 Cwner/AutKorizod Agent Signature Date (Rcvisud E02012016)