1512 MAPLE ST 2019-07-24 - Laserfiche WebLink

PERMIT APPLICATION BUILDING /MECHANICAL/ PLUMBING/SIGN /SPRINKLER/ DEMOLITION CITY OF EVERETT PERMIT SERVICES .17 3200 CEDAR STREET,EVERETT,WA 98201 (P)425-257-8810 I FAX 425-257-8857 I(E)everetteps@everettwa.gov I wsw.everettwa.gov/permits (Blu.or Black Ink.Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: \ �, { �.Q� PROPERTY TAX#: LEGAL for new construction: Short Pfat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: 1\)ftkik M Yl'`Y'A TENANT BUSINESS NAME(Commercial): OWNER MAILING ADDRESS: STREET Acro—t. sGrLQ,,,�,k, STATE WA ZIP 98201 OWNER PHONE: cliei--5(61) ^Cn�,�' OWNER EMAIL: CONTRACTOR NAME:GS HEATING CONTRACTOR ADDRESS: STREET 3409 EVERETT AVE c rr EVERETT STATE WA ZIP 98201 CONTRACTOR PHONE:425-252-4402 CONTRACTOR EMAIL:INSTALL@GSHEATING.COM CONTRACTOR LICENSE#(REQUIRED):GSHEAHC821 QR CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 60058 PRIMARY CONTACT: ❑OWNER El CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:425-252-4402 DAWN WEIMER CONTACT EMAIL:DAWN@GSHEATING.COM BUILDING INFORMATION Existing Use of Building:RESIDENTAIL Contract Price of Work:$2000 Proposed Use of Building:RESIDENTAIL Heat Source: OGas DElectric ❑Other BUILDING USE: DSFR ETownhouse ❑Duplex EADU ❑Multi-Family-#Units: ❑Commercial EAccessory Structure Type of Project: ENew ❑Addition ✓❑Remodel ERepair ❑T.I. ❑Sign OSprinkler EDernolition ❑Change of Use DESCRIPTION OF WORK: REPLACE GAS FURANCE ASSOCIATED BUILDING PERMIT#(if applicable): MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION Fixture Fixture Fixture Fixture count List of Fixtures count List of Fixtures Count List of Fixtures Count List of Fixtures A/C—Air Handling Units _ Gas Piping Backflow Preventer(Inside Bldg) Shower,Tub,or Combo Boiler Gas Range Clothes Washer Sink-Commercial(3-comp,prep,floor) Clothes Dryer Heat Pump&Ductless 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 Waste/Water Piping Repair _Exhaust Hood(Residential) Wood Stove Interceptor-Sand/Oil Water Service(behind meter) 1 Forced Air Systems Other. Medical Gas Water Valves or Fxtures Gas Fireplace/Insert/Log Roof Drains Water Heater SPRINKLER I SUPPRESSION SYSTEM Sewage Ejector or Sump Pump Other. Water Suppression System No.of Heads Chemical Suppression System 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 lam authorized by the owner of this property to perform the work for which application is made, and 1 comply with the State Contractors Law 18.27 RCW and 296.200A WAC. City of Everett Official Use Only PERMIT# DAWN WEIMER Date:219.n.7rDAM 2:001P eiu=a lci‘a i '(I gO / — v23 Dnte:20alpned 6 t2:DOSD•a IMEOwner/Rutt1R Y_ed!Agent Signature D (Revised 10/10/2018)