3601 SHORT ST 2019-07-08 - Laserfiche WebLink

PERMIT APPLICATION ilif/IjiL_e_A 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 1(E)everetteps@everettwa.gov I www.everettwa.gov/permits (Biagi `<:r B k IiikOh !leas' ) , . P US S�T_ i�, FO .< e - "� .� n. s..-,.. >�Sa m.. . ��I��,+ :, taw'$iws,, PROJECT SITE ADDRESS: 3601 Short St PROPERTY TAX#: 0045100000100 LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) �. u 1NFORMA�i1op1`�-v.,, is. x! drr�U11�rz��i J��i ih iA„ ,i tt� 1!!'1'.161V": 4u ..�„ _ o OWNER NAME: Don Jameson TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET 3601 Short St CITY Everett STATE WA ZIP 98201 OWNER PHONE: 206-788-5724 OWNER EMAIL: CONTRACTOR NAME: Sundance Energy Services CONTRACTOR ADDRESS: STREET 224 192nd St SW CITY Bothell STATE WA ZIP 98012 CONTRACTOR PHONE: 425-481-9660 CONTRACTOR EMAIL: sundanceenergyl@msn.com CONTRACTOR LICENSE#(REQUIRED): sundaes063j9 CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 32052 PRIMARY CONTACT: 0 OWNER CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 206-255-3793 Kevin Lebel CONTACT EMAIL: kevinl@sundanceenergy.com � r BUi P RMT APP .I A'TION ��ii` <'� Existing Use of Building: SFR Contract Price of Work:$ 20,690 Proposed Use of Building: Heat Source: ❑Gas VIElectric ❑Other Building Type: OSFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units: ❑Commercial ❑Industrial Type of Project: ONew ❑Addition I2Remodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: Installing a new multi-zone ductless heat pump ASSOCIATED BUILDING PERMIT#(if applicable): :, iiii4CMt#0071:AI p0:10010 4 10110 0:VONO „ ..r L NIB N�aSPERM'1 0400Ct, l ,. , Type of Project: _New _ Addn ✓Alteration _Repair Type of Project: _New _Addn _Alteration _Repair #of #of List of Fixtures List of Fixtures #of List of Fixtures #of List of Fixtures Fixtures Fixtures Fixtures Fixtures NC—Air Handling Units 1 Heat Pump 1 Toilet 1 Backflow Preventer(Inside Bldg) 1 Forced Air Systems 1 Unit Heater 1 Bathtub 1 Urinal Gas Piping 1 Boiler 1 Lavatory(Wash Basin) 1 Drinking Fountain Water Heater 1 Refrigeration 1 Shower 1 Floor Drain 1 Gas Fireplace 1 Wood Stove 1 Kitchen Sink&Disposal 1 Grease Trap 1 Gas Range 1 Ducting 1 Dishwasher 1 Roof Drains 1 Clothes Dryer Hookups 1 Other: 1 Clothes Washer 1 Medical Gas 1 Range Hood 1 1 Water Heater 1 Other: 1 Exhaust Fan 1 1 Sink(Service/Bar/Mop/etc.) 1 Other: 1 1 1 , .4,4,,S,PR)I„N,K i R(SUPR.RESti,,MON,SYSTEM o,im "^^ 1 1 1 Chemical or Water I 1 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 PERMIT# � 5•—(1 l st i''i ,i elm Owner/Authorized S •nature Date (Revised 9/23/2016)