11220 19TH DR SE 2017-10-25 - Laserfiche WebLink

E PERMIT APPLICATION BUILDING I MECHANICAL I PLUMBING/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: 11220 19th Dr SE I PROPERTY TAX#: LEGAL for new construction: Short Plat/subdivision--- Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: Mary Nichols TENANT NAME(if Commercial): OWNER MAILING ADDRESS: STREET 11220 19th Dr SE c,,,- Everett STATE Wa Z,P 98208 OWNER PHONE: 206-459-2251 OWNER EMAIL: CONTRACTOR NAME: Bobs Heating CONTRACTOR ADDRESS: STREET 14148 NE 190th St CITY Woodinville STATE Wa Z,p 98072 CONTRACTOR PHONE: 800-840-3346 CONTRACTOR EMAIL: lhoneycutt@bobsheating. com CONTRACTOR LICENSE#(REQUIRED);BOBSHHA8 5 3N ICITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 054967 PRIMARY CONTACT: ❑OWNER 13 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:$ 7500.00 Proposed Use of Building: Heat Source: ❑Gas EXlectric ❑Other Building Type: ❑SFR-Detached ffSFR-Attached []Duplex ❑Multi-Family-#of Units: ❑Commercial ❑Industrial Type of Project: ❑New ❑Addition Memodei ❑Repair ❑T.I. ❑Sign ❑S rinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: add ductless heat pump 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 1 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 Shower Floor Drain Gas Fireplace Wood Stove Kitchen Sink&Disposal I 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.1 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 locallaw.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 I comply with t State Contractors Law 18.27 RCW and 296.200A WAC. City of Everett Official Use Only PERMIT# 7/21/17 ( �� 1 - fl-�" Owner/Au orized Agent Signature Date (Revised 512012016)