8817 W MALL DR 2019-07-24 - Laserfiche WebLink

PERMIT APPLICATION � � BUILDING / MECHANICAL/PLUMBING/SiGN/SPRINKLER 1 DEMOLITION CITY OF EVERETT PERMIT SERVICES I'��' 3200 CEDAR STREET,EVERETT,WA 98201 (P)425-257-8810 I FAX 425-257-8857 (E)everetteps@everettwa.gov www.everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: C (d n N, PROPERTY TAX#: LEGAL for new construction: Short Plat/subdivision Lottto. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: 'i Q a 1-')47/V'\ �� TENANT NAME(If Commercial): I OWNER MAILING ADDRESS: srREEr � � 'L;(,`.�t� `p pi ,3 ,, C- CINl:i:�/` : l- �.I STATE Z P ✓'�� '�� OWNER PHONE: 2; ?�,t. `'Ut�,� OWNER EMAIL: CONTRACTOR NAME: G&S HEATING CONTRACTOR ADDRESS: STREET 3409 EVERETT AVE CITY EVERETT STATE WA ZIP 98201 CONTRACTOR PHONE: 425-252-4402 CONTRACTOR EMAIL: DAWN@gSHEATING.COM CONTRACTOR LICENSE#(REQUIRED): GSHEAC*939RK CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 019685 PRIMARY CONTACT: ❑OWNER L CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: DAWN WEiMER CONTACT PHONE: 425-252-4402 CONTACT EMAIL: DAWN@GSHEATING.COM BUILDING PERMIT APPLICATION Existing Use of Building: RESIDENTIAL Contract Price of Work:$ a Proposed Use of Building: RESIDENTIAL Heat Source: VGas DElectric ❑Other Building Type: MFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of/Units:. ❑Commercial ❑Industrial Type of Project: ONew ❑Addition ARemodel DRepair DT I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: ASSOCIATED BUILDING PERMIT#(if applicable): MECHANICALPERMIT;AP_.PII,CATiON PLUMBING PERMIT APPLICATION Type of Project: _New Addn (Alteration _Repair Type of Project: New Addn Alteration _Repair #of List of Fixtures List of Fixtures #of List of Fixtures #of 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 l 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/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 RCWand 296.200A WAD. City of Everett Official Use Only PERMIT#v1 / Owner/Aut-h'orized Agent Signature Date (Revised 923/2016)