9016 CORBIN DR A 2019-01-28 - Laserfiche WebLink

PERMIT APPLICATION BUILDING/MECHANICAL/PLUMBING/ /SPRINKLER/DEMOLITION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET,EVERETT,WA 98201 (P)425-257-8810 FAX 425-257-8857 I(E)`everetteps@everettwa.gov I www;everettwa.govlpermits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: 9016 Corbin Dr#A PROPERTY TAX#: 01 123100000100 LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: Carl COX TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET 9016 Corbin Dr#A CITY Everett STATE Wa ZIP 98204 OWNER PHONE: 206-931-3921 OWNER EMAIL: CONTRACTOR NAME: Bobs Heating CONTRACTOR ADDRESS: STREET 14148 NE 190th St CITY Woodinville STATE Wa. ZIP 98072 -. CONTRACTOR PHONE: 800-840-3346 CONTRACTOR EMAIL: lhoneycutt@bobsheating.com CONTRACTOR LICENSE#REUIRED): BOBSHHA853NQ CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 41388 PRIMARY CONTACT: 0 OWNER rkONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: Lucinda Honeycutt CONTACT PHONE: 206-378-6735 CONTACT EMAIL: Ihoneycutt@bobsheating.com BUILDING PERMIT APPLICATION 1~xisting Use of Building: `Contract Price of Work:$ 1800 Proposed Use of Building: Heat Source: ❑Gas ❑Electric ❑Other Building Type: ❑SFR-Detached IMER-Attached ❑Duplex ❑Multi-Family-#of Units: ❑Commercial ❑Industrial Type of Project ONew ❑Addition ofRemodel ❑Repair ❑T.I. OSign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: like for like hot water tank replacement 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 #°f List of Fixtures #°f List of Fixtures #°f 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 Gas Piping Boiler Lavatory(Wash Basin) Drinking Fountain r 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 1' Water Heater Other: Exhaust Fan Sink(Service/Bar/Mopletc.). 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 anycircimstance.I am the owner,ort 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 WAG. City of Everett Official Use Only 6-) -ak/t/7 PERMIT n 2/3/17 \ 'C,,��2 013 Owner uthorized Agent Signature Date (Revised 5120/2016)