1122 HOYT AVE 2019-03-27 - Laserfiche WebLink

PERMIT APPLICATION 4rrBUILDING/MECHANICAL I PLUMBING I SIGN I SPRINKLER/DEMOLITION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET,EVERETT,WA 98201 (P)425-257-8810 I FAX 425-257-8857 1(E)everettepsieverettwa.gov 1 www.everettwa.gov/permits (Blu.orBlackink-Only Please);:::.;:,::::;;:s PROJECT:SITE INFORMATION :.:::;;;:;;; ;::;; PROJECT SITE ADDRESS:1122 hoyt ave PROPERTY TAX#: 00468622202700 LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) ;,,:.:: :.... CONTACT.: NF INFORMATION OWNER NAME: MCLANE DEVIN&TARYN TENANT BUSINESS NAME(Commercial): OWNER MAILING ADDRESS: STREET 1122 hoyt ave ern, EVERETT STATE WA zip 98201 OWNER PHONE: 206-498-8372 OWNER EMAIL: CONTRACTOR NAME:GS HEATING CONTRACTOR ADDRESS: sTREET3409 EVERETT AVE cm EVERETT STATE WA ZIP 98201 CONTRACTOR PHONE:425-252-4402 CONTRACTOR EMAIL:1 NSTALL@GSHEATING.COM CONTRACTOR LICENSE#(REQUIRED):GSHEAHC821 QR CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 60058 PRIMARY CONTACT: 0 OWNER 0 CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:425-252_L4.02 DAWN WEIMER CONTACT EMAIL:DAWN@GSHEATING.COM BUILDING:INFORMATION Existing Use of Building:RESIDENTAIL Contract Price of Work:$2000 Proposed Use of Building:RESIDENTAIL Heat Source: OGas ❑Electric ❑Other BUILDING USE: OSFR DTownhouse ❑Duplex DADU ❑Multi-Family-#Units: ❑Commercial ❑Accessory Structure Type of Project: ❑New ❑Addition ❑✓Remodel ❑Repair ❑T.I. ❑Sign OSprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: REPLACE GAS FURNACE ASSOCIATED BUILDING PERMIT#(if applicable): ::;MECHANICAL:PERMIT;APPLICATION'.;:; PLUMBING PERMIT.:APPLICATION:. Fixture Fi tura Fixture Fixture Count List of Fixtures CountList 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 Ventilatior 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/Oil Water Service(behind meter) 1 Forced Air Systems Other. Medical Gas Water Valves or Fixtures Gas Fireplace/Insert/Log Roof Drains Water Heater ;:;SPRINKIERI.SUPPRESSION i:SYSTEM'::::::::::::::::: Sewage Ejector or Sump Pump Other: Water Suppression System No.of Heads Chemical Suppression System No.of Heads ACKNOWLEDGEMENT:t 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.Jam 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 DAWN WEIMER AbbbyflgrotllyCANMWHIN0. PEROr4C C© ^ .'.- Die 'pue:20t9nedb 12A%M49-0CCR 2/20/2019 [/1 Owner/.Agent Signature Date (Revised 10/10/2018)