2424 BAKER AVE 2019-07-12 - Laserfiche WebLink

05/24/2019 08:53 #4226 P. 002/002 PERMIT APPLICATION- 1167.111 BUILDING/MECHANICAL 1 PLUMBING I SIGN/SPRINKLER/DEMOLITION E V E R E T TCITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET,EVERETT,WA 98201 WASHINGTON (P)425-257-8810 I FAX 425-257-8857 I(B)everettepseeverettwa.gov I www.everettwa.gov/permits Blue or Black Ink On Please PROJECT SITE INFORMATION PROJECT SITE ADDRESS:2424 BAKER AVE PROPERTY TAX#: LEGAL for new construction: Short Plat/subdivision .,Lot No, (attach copy of long lege!description) • CONTACT INFORMATION OWNER NAME: JAMES W ROTH TENANT BUSINESS NAME(Commercial): OWNER MAILING ADDRESS: sTRErr1812 2ND ST ow MARYSVILLE STATE WA zip 98270 • OWNER PHONE:425.308.3230 OWNER EMAIL: CONTRACTOR NAME:EYLANDER SALES & SERVICE CONTRACTOR ADDRESS: STasar3601 EVERETT AVE CRY EVERETT STATE WA ap 98201 CONTRACTOR PHONE:425.259.2161 CONTRACTOR EMAIL: CONTRACTOR LICENSE#(REQUIRED):EYLANS$042K2 CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 016363 PRIMARY CONTACT: ©OWNER ID CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:425.231.2275 CORNELIUS ME2 CONTACT EMAIL: _ • BUILDING INFORMATION • Existin Use of Building:SFR Contract Price of Work:$500 Proposed Use of Building:SFR Heat Source: OGas CIElectric ©Other BUILDING USE: OSFR ❑Townhouse ❑Duplex DADU ❑Multi-Familt-#Units: ❑Commercial QAccesso0r Structure Type of Project: ❑New DAddition DRemodel DRepair ❑T,I. DSign QSprinkler DIDemolition ❑Change of Use DESCRIPTION OF WORK: COMPLIANCE FOR NO PERMIT ON FURNACE INSTALLED BY OTHERS.CE-19-0348 ASSOCIATED BUILDING PERMIT#(if applicable): MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATIKM F°i°`"B List of Fixtures F°C°"� List of Fixture Firture F/xtufes LISt Of FlYtureS List of Fixtures count CONK COUltt COM A/C-Air Handling Units Gas Piping Rackflow Preventer(Inside Bldg) Shower,Tub,or Combo Boiler Gas Ranee Clothes Washer Sim-Commercial(3-comp,prep,floor) Clothes_yr er Heat Pump&Ductiess 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 WastelWater 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 SPRINKLER/SUPPRESSION SYSTEM Sewage Ejector orSump Pump Other: Water Suppression System No. Heads 'Chemical Suppression System 'No.ofieads ACKNOWLEDGEMENT:DGEMENT.: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 granung of a permit only authorizes approved work and no deviations therefrom,Deviations must fust be authorized in writing from the Bidding official before being authotred under any circumstance.I am the owner,or I am authorized by the owner of this properly 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# • • JAZ,/ Mk eMk4 VC1.��-CCS Ow,•r/Auth.• +dAgent Signature Date (Revised 10/102018)