Laserfiche WebLink
aim <br /> mi PERMIT APPLICATION <br /> BUILDING I MECHANICAL/PLUMBING/SIGN/SPRINKLER/DEMOLITION <br /> EVERETTCITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET,EVERETT,WA 98201 <br /> wAseiNoToe (P)425-257-S810 1 FAX 425-257-8857 I(E)everetteps@everettwa,gov 1 www everettwa.govipermns <br /> Minn Orliannk Ink OMYSIMPII0 PROJECT SITE INFORMATION .... <br /> PROJECT SITE ADDRESS:1026 MAPLE ST PROPERTY TAX 1,i;00438719302100 <br /> LEGAL for new construct:ton: Short Platisuixiivsort _Lot No, (al-tacr UOCy of long,ega:desorption) <br /> •1•11m111•11•00..wasamomwmati.am <br /> loomoomsemolmor..... ...me <br /> CONTACT INFORMATION <br /> Imo*aliii1.10110111.11"14ANW.J.....4 ........... .ow <br /> OWNER NAME: MCMAHAN, BETHANY TENANT BUSINESS NAME(Cornmeictai): <br /> OWNER MAILING ADDRESS: STREit..-t 1026 MAPLE ST <br /> cm, EVERETT S'A'E, WA ,,:i 98201 <br /> .r........ 4 <br /> OWNER PHONE: 425-5774545 OWNER EMAIL: <br /> , — — <br /> CONTRACTOR NAME:WASHINGTON WATER HEATERS <br /> CONTRACTOR ADDRESS: s,-Ri i 17152 11611 AV`T. EE PO BOX 59208 <br /> cjy RENTON <br /> SAE WA z,p 98058 <br /> CONTRACTOR PHONE;425-883-4871 CONTRACTOR EMAIL:WAWAHVAC@GIVIAIL.COM <br /> CONTRACTOR LICENSE tI(REDUIRED);WASHII*9800P CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 053449 <br /> PRIMARY CONTACT: 0 OWNER El CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE:425-883-4871 <br /> DANIELS, JACC I CONTACT EMAIL:WAWAHVAC©GMAIL.COM <br /> UI31K INFORMATION <br /> ... , ' <br /> Existing Use of Building.RESIDENTIAL Contract Price of Work:$1200 <br /> Proposed Use of Buildir3 Heat Source: OGas DElectric ClOther <br /> SLIDING USE C3SER HTownhouse ; ;Duplex 'ADU EMulti-Family-#Units: -,.3Comrnercial EAccessory Structure <br /> Type of ProjectLJNew ElAddition ,,(Remodel 2iRepair DTI, L1Sign :Sprinkler ODernolition OChange of Use:it:Ca. <br /> ki <br /> DESCRIPTION OF WORK: REMOVE&REPLACE 1 GAS WATER HEATER <br /> ASSOCIATED BUILDING PERMIT#(iflael,..c.a=)_ __ .... <br /> MECHANICAL PERMIT APPLICATION 1., PLUMBING PERMIT APPLICATION <br /> Fixture Fixture . Fixture ----77;aure <br /> List of Fixtures List of FixturesList of Fixtures List of Fixtures <br /> Count Couut ' C.ittot I Count <br /> NC—Air Handling Units Gas Piping backtow Preventer(Inside Bldg) L Shower,Tub,or Corri>o <br /> Be ler Gas Range Clothes Washer Sink-Commercial(3-oomp,prep,floor) <br /> Clothes Dryer Heat Pump&Ductless Dishwasher Smk-Resteential(kAchen,bathiber) <br /> Duet System(Remodel Refrigeration Drinkint Fountain 1,.._ S_ 221,22211rdry,mop <br /> Exhaust Fans(Residential) Commercial Ventilate Floor Drain Toilet <br /> Exhaust Hood(Type I) (Not Heat/AC sys,em) Hose Bibb urinal <br /> Exhaust Hood(Type II) 1 Water Heater Interceptor-Grease WasteANater Piping Repair <br /> Exhaust Hood(Residential) Wood Stove Interceptor-Sand+011 We:tat Service(behind meter) <br /> Forced Air Systems Other Medical Gas ' Water Valves or Fixtures <br /> , <br /> Gas Fireplace/Insertit„og Roof Drains Water Heater <br /> SPRINKLER,/SUPPRESSION SYSTEM Sewage Ejector Or Sump Pump Diner <br /> ... .—, ,, • ...www,,,—• <br /> -Water Suppression System No of Heads , I <br /> ofiternical Suppression System No of He <br /> J.....1----..—i <br /> ACKNOWLEDGEMENT-I have reviewed the application and confirm the ditonnation contained herein is true and correct Won done pursuant to this permit must comply with <br /> current federal state,and local law, The granting of a permit only authorizes 4 proved war':and no deviations therefrom.Deviations must first be authorized in writing from the <br /> &Jading Official before being authenzed under any circumstance,lam the own 34r,or!um authorized by the owner of this prude/Jr to perform the wort fOr which application is made <br /> aildrebinply with the State Contractors Law 18 27 ROWand2Oe.200A WAG <br /> ) City of Everett Official Use Only <br /> L, t.( 0 0 ri \,. <br /> „ <br /> PERIM LI <br /> / 14 i <br /> LA-41 4 ------' <br /> '- 6'7/19 <br /> ef <br /> Ovnier/Authorized Agent Signature Date (Revised le/0/2O18) <br />