3610 ROCKEFELLER AVE 2018-06-27 - Laserfiche WebLink

PERMIT APPLICATION BUILDING/MECHANICAL/ PLUMBING /SIGN/SPRINKLER/ DEMOLITION ,�,� ,�'�"� CITY OF EVERETT PERMIT SERVICES I"�•r 3200 CEDAR STREET,EVERETT,WA 98201 (P)425-257-8810 1 FAX 425-257-8857 I(E)everetteps@everettwa.gov www.everettwa.gov/permits PROJECT SITE ADDRESS: 3610 Rockefeller Ave, Everett, WA, 98201 PROPERTY TAX#:00438188302800 LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) OWNER NAME: - - -II TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET 3610 Rockefeller Ave CITY Everett STATE WA ZIP 98201 OWNER PHONE: 206.291.3146 OWNER EMAIL: .esse• • sent.com CONTRACTOR NAME: Owner CONTRACTOR ADDRESS: STREET CITY STATE ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: CONTRACTOR LICENSE#(REQUIRED): CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): PRIMARY CONTACT: r OWNER 0 CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 206.291.3146 Jesse Gall CONTACT EMAIL: 'esse• • sent.com Existing Use of Building: Contract Price of Work:$ 3.500 Proposed Use of Building: Heat Source: ❑Gas ❑Electric ❑Other Building Type: ❑SFR-Detached ❑SFR-Attached ODuplex ❑Multi-Family-#of Units: ❑Commercial ❑Industrial Type of Project: ❑New ❑Addition ❑Remodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: Installation of a vented natural gas fireplace insert into an existing chimney with fire box. Gas line will be installed to the bottom of the box through the chimney. Electrical cord will come out the front and plug into wall outlet. Vents will go up flue. ASSOCIATED BUILDING PERMIT#(if applicable): 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 Handlin• UnitsHeat Pump Toilet Backflow Preventer(Inside Bid.) Forced Air S stems —Unit Heater —Bathtub —Urinal Gas Pipin• —Boiler —Lavato ash Basin) —Drinkin. Fountain I 'Water Heater —Refri•eration —Shower —Floor Drain WAIII Gas Fire•lace —Wood Stove —Kitchen Sink&Dis•osal —Grease Tra. Gas Ranee —Ductin• —Dishwasher —Roof Drains Clothes D er Hookups —Other: —Clothes Washer —Medical Gas Ranee Hood —Water Heater —Other: Exhaust Fan —Sink Service/Bar/Mo./etc. —Other: Chemical or Water _No.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 Official before being authorized under any circumstance.lam the owner,or/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 � PERM 1/� '^r ��h Dec. 1st, 2017 IF ,/JX l/C y�1.� Owner/Authorized Agent Signature Date (Revised 9/23/2016)