10712 9TH DR SE B 2018-02-26 - Laserfiche WebLink

44-17 PERMIT APPLICATIC I rI BUILDING / MECHANICAL/ PLUMBING / SIGN /SPRINKLER / :m:301NAL CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT,WA 98201 (P)425-257-8810 FAX 425-257-8857 (E) everetteps@everettwa.gov www.everettwa.gov/permits PROJECT SITE INFORMATION PROJECT SITE ADDRESS: v / PROPERTY TAX#: 10712 9TH DRS B LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: MARK STEWART TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET 10712 9TH DR SE B CITY EVERETT STATE WA ZIP 98208 OWNER PHONE: 425-830-5007 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 CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 0cc/79D PRIMARY CONTACT: ❑ OWNERNTRACTOR ❑ 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:$ 4000.00 Proposed Use of Building: Heat Source: C Gas ❑Electric ❑Other Building Type: lSFR-Detached DSFR-Attached 0 Duplex ❑Multi-Family-#of Units: El Commercial 0 Industrial Type of Project: ❑New DAddition ❑Remodel ❑Repair DTI. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: 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 I List of Fixtures #of List of Fixtures #of #°f List of Fixtures List of Fixtures Fixtures Fixtures Fixtures Fixtures A/C—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 Wood Stove Kitchen Sink&Disposal Grease Trap Gas Range Ducting Dishwasher Roof Drains Clothes Dryer Hookups Other: Clothes Washer Medical Gas _ Range Hood Water HeaterOther: 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 be.re 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 wit, the State Contractors Law 18 7 RCW and 296.200A WAC. City of Everett Official Use Only [PERMIT / G(�i✓ 3/10/17 I o � 0 cner/ ut h d Agent Signatui Date (Revised 10/12/2015)