3716 UPLAND AVE 2018-03-27 - Laserfiche WebLink

PERMIT APPLICATION■' � � BUILDINI IECHANICAL/ PLUMBING/SIGN I FI�FCINKLER/DEMOLITION 47yerr CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET,EVERETT,WA 98201 (P)425-257-8810 I FAX 425-257-8857 I(E)everetteps@everettwa.gov I www.everettwa.gov/permits PROJECT SITE INFORMATION PROJECT SITE ADDRESS: 3716 Upland Avenue PROPERTY TAX#: 00433600006302 LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: Gary and Christy Kocher TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET 847 Goat Trail Loop Road cITY Mukilteo STATE WA ZIP 98275 . , OWNER PHONE: 425-263-6472 OWNER EMAIL: g•kocher@frontier.com CONTRACTOR NAME: e..4-C C)Gt3".ev- h C-1; C C('eV- CONTRACTOR ADDRESS: STREET / CITY STATE ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: CONTRACTOR LICENSE#(REQUIRED): CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): PRIMARY CONTACT: IE OWNER 0 CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: CONTACT EMAIL: BUILDING PERMIT APPLICATION Existing Use of Building: Contract Price of Work:$ Proposed Use of Building: Heat Source: ❑Gas ❑Electric ❑Other Building Type: EISFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units: _ ['Commercial ❑Industrial Type of Project: ®New ❑Addition ❑Remodel ❑Repair ❑T.I. OSign OSprinkler ['Demolition ❑Change of Use DESCRIPTION OF WORK: Construction of a new 2535 sf. house with 2 car garage. fissmalikettetratialfmainettre. ASSOCIATED BUILDING PERMIT#(if applicable): MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION Type of Project: _,New T Addn Alteration _Repair Type of Project: XNew _Addn _Alteration Repair #of List of Fixtures #of List of Fixtures #of List of Fixtures #°f List of Fixtures Fixtures Fixtures Fixtures Fixtures A/C—Air Handling Units 1 Heat Pump 3 Toilet Backflow Preventer(Inside Bldg) 1 Forced Air Systems Unit Heater 2 Bathtub Urinal Gas Piping Boiler 5 Lavatory(Wash Basin) Drinking Fountain Water Heater Refrigeration 2 Shower Floor Drain Gas Fireplace 1 Wood Stove 1 Kitchen Sink&Disposal Grease Trap 1 Gas Range Ducting 1 Dishwasher 4 Roof Drains 1 Clothes Dryer Hookups Other: 1 Clothes Washer Medical Gas 1 Range Hood 41 Water Heater Other: 5 Exhaust Fan 1 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 lam authorized by the owner of this property to perform the work for which application is made, and/comply with the State Contractors.Law 18.27 RCW and 296.200A WAC. City of Everett Official Use Only PERMIT# C1412-017 � - __.t O/6___ Owner/Au !rize. ,gen Signature Date (Revised 10/12/2015)