3319 FEDERAL AVE 2019-03-21 - Laserfiche WebLink

PERMIT APPLICATION /''"""� BUILDING/MECHANICAL I PLUMBING I SiGN 1 SPRINKLER 1 DEMOLITION id"----A A 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 (Mit;orBlaicklnk7Onhj:PlBass) :: ;:>:PROJECT SITE:INFORMATION::: ::.:...;;.: :•.: :•: ::: ::::: PROJECT SITE ADDRESS: 39"ff - Z . PROPERTY TAX#: %)(i'-'�j `,I\—`1C-S-01; ,JC, LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) • :.:..: .:::.: :.:..::.:.:..::::..:.. :... CONTACT:.1 N ....... :. ..::...... .,..::::.. ::..::: :::::::::::,: : ;: • ;::;: :::. . FORMATION.::.::. :.....,:•,•...,...::...--....:..,:- : .••••••:.;.•'..':, : .. .......;,.. ... :.. :. ..:. OWNER NAME: jp;Ayv i' 4i, 'A,41\.e.)4.1 1FAi14'kta q TENANT BUSINESS NAME(Commercial): OWNER MAILING ADDRESS: STREET '')A4--- 4"?, CITY Pr STATE I.,,un ZIP (e) € OWNER PHONE: U I.N-2j{')-- Ze'Cldp OWNER EMAIL: CONTRACTOR NAME:GS HEATING CONTRACTOR ADDRESS: sTREET3409 EVERETT AVE crw EVERETT STATE WA ZIP 98201 CONTRACTOR PHONE:425-252-4402 CONTRACTOR EMAiL:INSTAL L@GSHEATiNG.COM CONTRACTOR LiCENSE#(REQUIRED):GSHEAHC821 QR CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 60058 PRIMARY CONTACT: ❑OWNER CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:425-252.4402 DAWN WEiMER CONTACT EMAIL:DAWN@GSHEATING.COM . : :BUIi:DING:iNFORMATION .. __.... .. Existing Use of Building: \ \64.M.:, Cu.J Contract Price of Work:$ i)D60,(1), Proposed Use of Building: ►hz. r,t Heat Source: ,ZEGas ❑Electric ❑other BUILDING USE: EISFR ❑Townhouse ❑Duplex EADU ❑Multi-Family-#Units: ❑Commercial ❑Accessory Structure Type of Project: :New DAddition EIRemodel ❑Repair DT.I. ❑Sign OSprinkler ODemolition ❑Change of Use DESCRIPTION OF WORK:,24v a i- ,n 6. ASSOCIATED BUILDING PERMIT#(if applicable): MECHANICAL::PERMIT:APPLICATION .:: .: ;:. .... .;.:...:PLUMBING:PERMIT;APPLICATION:.f;; .:;;::-; Fixture Fixture Fixture Fixture count List of Fixtures Count List of Fixtures Count List of Fixtures Count List of Fixtures NC-Air Handling Units Gas Piping Backflow Preventer(Inside Bldg) Shower,Tub,or Combo Boiler Gas Range Clothes Washer Sink-Commercial(3-comp,prep,floor) Clothes Dryer Heat Pump&Ductless Dishwasher Sink-Residential(kitchen,bath,bar) Duct System(Remodel) Refrigeration Drinking Fountain Sink-Utility,laundry,mop Exhaust Fans(Residential) Commercial Ventilator Floor Drain Toilet Exhaust Hood(Type I) (Not Heat/AC system) Hose Bibb Urinal Exhaust Hood(Type II) Water Heater Interceptor-Grease Waste/Water Piping Repair Exhaust Hood(Residential) Wood Stove Interceptor-Sand/01i Water Service(behind meter) 4 Forced Air Systems Other: Medical Gas Water Valves or Fixtures Gas Fireplace/InserULog Roof Drains Water Heater •• {SPRINKLER;iSUPPRESSION;SYSTEM Sewage Elector or Sump Pump Other: Water Suppression System No,of Heads Chemical Suppression System No,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.!am the owner,or i am 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 ROW and 296.200A WAC. Ci`ty of Everett Official Lisa Only // ._.____-__--_ l i t �p� PERMIT l ..A.// on, Owner/Authorized Agent Signature 'Date (Revised 10/10/2018)