810 33RD ST 2017-10-26 - Laserfiche WebLink

PERMIT APPLICATION BUILDINPIMECHANICAL/ PLUMBING /SIGN / PRINKLER/ DEMOLITION CITY OF EVERETT PERMIT SERVICES OL 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.Alack Ink i ly Please) PROJECT„SMTIE INFORMATION PROJECT SITE ADDRESS: 810 33rd ST, Everett, WA 98201 PROPERTY TAX#: 00583978300300 LEGAL for new construction: Short Plat/subdivision Lot No (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: Wendy Sue Fellers TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET 810 33rd St care Everett STATE WA zip 98201 OWNER PHONE: 425-343-2901 OWNER EMAIL: wendyfellers@hotmail.com CONTRACTOR NAME: Eagle Pipe& Mechanical CONTRACTOR ADDRESS: STREET 54 Seven Sisters Rd clTV Port Ludlow STATE WA zip 98365 CONTRACTOR PHONE: 206-765-6851 CONTRACTOR EMAIL: eaglepmwa@gmail.com CONTRACTOR LICENSE#(REQUIRED): EAGLEPM867LK CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 054148 PRIMARY CONTACT: ❑ OWNER RCONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 206-765-6851 Alisha Wilson CONTACT EMAIL: eaglepmwa@gmall.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 ❑Du lex ❑Multi-Family-#of Units: ❑Commercial ❑Industrial Type of Project: ❑New ❑Addition ❑Remodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Chan e 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 _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 3 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 Chemical or Water I I No. 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 I comply with the State Contractors Law 18.27 RCW and 296.200A WAC. City of Everett Official Use Only r.._. PERMIT# 06/15/2017 lIl a Owner/Authorized Agent Signature Date (Revised 9/23/2016)