2918 W MUKILTEO BLVD 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 1 FAX 425-257-8857 1 (E) everetteps@everettwa.gov I www.everettwa.gov/[)ermits PROJECT SITE INFORMATION PROJECT SITE ADDRESS: 2918 W MUKILTEO BLVD PROPERTY TAX#: LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: REIMAN, DEREK TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET2918 W MUKILTEO BLVD CITY EVERETT STATE WA zip 98203 OWNER PHONE: 206-200-2533 OWNER EMAIL: CONTRACTOR NAME: BLUE FLAME HEATING AND AIR CONDITIONING CONTRACTOR ADDRESS: STREET 7116 220TH ST SW, SUITE 1 CITY MOUNTLAKE TERRACE STATE WASHINGTON zip 98043 CONTRACTOR PHONE: 425-771-7139 CONTRACTOR EMAIL: INFO@BLUEFLAMECOMFORT.COM CONTRACTOR LICENSE#(REQUIRED): BLUEFFH865JB I CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 052790 PRIMARY CONTACT: ❑ OWNER CONTRACTOR ❑ OTHER (Please Specify) CONTACT NAME: CONTACT PHONE: 425-771-7139 NAQUIN GRAY CONTACT EMAIL: NGRAY@BLUEFLAMECOMFORT.COM BUILDING PERMIT APPLICATION Existing Use of Building: RESIDENTIAL Contract Price of Work:$ 4165.00 Proposed Use of Building: RESIDENTIAL Heat Source: INGas ❑Electric ❑Other Building Type: I$ISFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-hi of Units: ❑Commercial ❑Industrial Type of Project: ❑New ❑Addition E]Remodel 6Repair ❑T.l. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: LIKE AND KIND FURNACE CHANGE-OUT ASSOCIATED BUILDING PERMIT#(if applicable): MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION Type of Project: New X 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) Forced Air Systems Unit Heater Bathtub Urinal Gas Piping Boiler Lavatory(Wash Basin) Drinking Fountain Water Heater Refrigeration iShower 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 ACKNOWLEDGEMENT.'l 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 icial before being authorize 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 co ly with the State Contract Law 18.27 RCW and 296.200A WAC. ( City of Everett Official Use Only PE#�h 4/7/17 t l \ � � Ovfhe/Aur ized Agent Sign toe Date (Revised 10/12/2015)