11102 20TH DR SE 2019-06-12 - Laserfiche WebLink

PERMIT APPLICATION 0.411PBUILDING I MECHANICAL/PLUMBING/SIGN i SPRINKLER 1 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: 11102 20th Dr SE PROPERTY TAX#: 01 148001800700 LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: Ruben Muniz TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET 11102 20th Dr SE ern, Everett STATE Wa ZIP 98208 OWNER PHONE: 206-250-8355 OWNER EMAIL: CONTRACTOR NAME: Bobs Heating CONTRACTOR ADDRESS: STREET 14148 NE 190th S t CITY Woodinville STATE Wa ZIP 98072 CONTRACTOR PHONE: 800-840-3346 CONTRACTOR EMAIL: lhoneycutt @bobsheating.corn CONTRACTOR LICENSE#(REQUIRED):BOBS HHA 8 5 3 NQ CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 054967 PRIMARY CONTACT: 0 OWNER 13 CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: Lucinda Honeycutt CONTACT PHONE: 206-378-6735 CONTACT EMAIL: lhoneycutt@bobsheating.corn BUILDING PERMIT APPLICATION Existing Use of Building: S FR Contract Price of Work:$ 10000.00 Proposed Use of Building: Heat Source: ❑Gas °electric ❑Other Building Type: ❑SFR-Detached OCSFR-Attached ❑Duplex ❑Multi-Family-#of Units: ❑Commercial ❑Industrial Type of Project New ❑Addition C Remodel ❑Repair DTI. OSign ❑Sprinkler ❑Demolition El Change of Use DESCRIPTION OF WORK: add ductless heat pump 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 NC—Air Handling Units 1 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 I Number of Heads ACKNOWLEDGEMENT::1 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,end local taw.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,t am the owner,or i am authorized by the owner of this property to perform the work for which application is made, and 1 comply with t State Contractors L 18.27 RCW and 296.200A WAC. City of Everett Official Use Only Or 1 PERMIT 14(10/ - 1)33 ��#A 7/21/17 �'tel. (1 0/ - ,®33 OwnerlAuth•rized Agent Signature Date (Revised 6/20/2u18)