3009 GEDNEY ST 2019-03-21 - Laserfiche WebLink

OSIETT 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:3009 GEDNEY ST. PROPERTY TAX#:00437572400300 LEGAL for new construction: Short Plat/subdivision EVERETT DIV H PLAT OF BLK 724 Lot No.3-4-5 (attach copy of long legal description) CONTACT INFORMATION OWNER NAME:LIZ CLARKE TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET3009 GEDNEY ST. , EVERETT STATE WA ZIP 98201 OWNER PHONE:(206) 218-9234 OWNER EMAIL:Iizstewartclarke@gmail.COm CONTRACTOR NAMENOME DEPOT USA INC CONTRACTOR ADDRESS: sTREEr2455 PACES FERRY RD CITY ATLANTA STATE GA ZIP 30339 CONTRACTOR PHONE:800-381-5699 CONTRACTOR EMAIL:HD@NWPERMIT.COM CONTRACTOR LICENSE#(REQUIRED):HOMED**088RH CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 57001 I m PRIMARY CONTACT: ❑ OWNER D CONTRACTOR g OTHER(Please Specify) CONTRACTOR'S AGENT CONTACT NAME: CONTACT PHONE:360-945-2787 CHLOE BARKER / NW PERMIT INC CONTACT EMAIL:HD©NWPERMIT.COM BUILDING PERMIT APPLICATION Existing Use of Building:SFR Contract Price of Work: $11,513.07 Proposed Use of Building:SFR Heat Source: ❑Gas ❑Electric ❑Other Building Type: ❑SFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units: ❑Commercial ❑Industrial Type of Project: ❑New DAddition DRemodel El Repair ❑T.I. ❑Sign DSprinkler ❑Demolition ❑Change of Use <S RIPTION OF WORK: ep acing 20 squares of comp and 5 squares/sheets of decking; 1/2" CDX, 6/12 nail pattern, 4' staggered, 24" OC. (No plywood unless found at time of install.) 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 #°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 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/ SUPPRESSION SYSTEM Chemical or Water 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.I am the owner,or I 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 Chloe Barker B Digitally signed by Chloe Barker Date:2018.05.30 13:47:47-07'00' 09/26/2018 PERMI Owner/Authorized Agent Signature Date (Revised 9/23/2016)