310 ALVERSON BLVD 2019-01-17 - Laserfiche WebLink

PERMIT APPLICATION BUILDING/MECHANICAL/ PLUMBING /SIGN /SPRINKLER/ DEMOLITION 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 (Blue or Black`Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: 310 Alverson Blvd PROPERTY TAX#: LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: Alice Roy TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET 310 Alverson Blvd cry EVERETT STATE WA zip 98201 OWNER PHONE: 310.490.5046 OWNER EMAIL: CONTRACTOR NAME: EYLANDER SALES & SERVICE CONTRACTOR ADDRESS: STREET 3601 EVERETT AVE cry EVERETT STATE WA zap 98201 CONTRACTOR PHONE: 425.259.2161 CONTRACTOR EMAIL: CONTRACTOR LICENSE#(REQUIRED): EYLANSSO42K2 CITY OF EVERETT BUSINESS LICENSE#(REQUIRED):016363 PRIMARY CONTACT: i OWNER 0 CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:425.310.55046 ALICE ROY CONTACT EMAIL: BUILDING PERMIT APPLICATION Existing Use of Building:SFR Contract Price of Work:$1800 Proposed Use of Building:SFR Heat Source: 1nGas ❑Electric ❑Other Building Type: ❑SFR-Detached ❑SFR-Attached ODuplex ❑Multi-Family-#of Units: ❑Commercial ❑Industrial Type of Project: ONew ❑Addition ❑Remodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: REPLACE GAS HOT WATER TANK 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 NC—Air Handling Units Heat Pump Toilet Backflow Preventer(Inside Bldg) Forced Air Systems Unit Heater Bathtub Urinal 10 Gas Piping Boiler Lavatory(Wash Basin) Drinking Fountain 1 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 I SUPPRESSION SYSTEM Chemical or Water I No.of Heads ACKNOWLEDGEMENT:!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 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 /e/27/, PERMIT#M 15(O -/05 0Authorized Agent Signature e (Revised 9/23/2016)