4413 31ST AVE SE 2019-08-08 - Laserfiche WebLink

IMI PERMIT APPLICATION liz BUILDING/MECHANICAL/ PLUMBING / 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(E)everetteps@everettwa.gov I www.everettwa.gov/permits `(Moo or Block Ink Only Planes) PROJECT'SITE INFORMATION PROJECT SITE ADDRESS: 4413 31st Ave. SE PROPERTY TAX#:01167800006900 LEGAL for new construction: Short Flat/subdivision Lot No, (attach copy of long legal description) ' CONTACT INFORMATION OWNER NAME: Sharon Gudka TENANT BUSINESS NAME(Commercial): OWNER MAILING ADDRESS: STREET same as jobsite address Cm' STATE ZIP OWNER PHONE:206-601-5876 OWNER EMAIL: pathofprevention@aol.Com CONTRACTOR NAME: Right On Heating & Sheet Metal, Inc. CONTRACTOR ADDRESS: STREET PO 758 crre Lake Stevens STATE Wa ZIP 98258 CONTRACTOR PHONE: 425-335-4207 CONTRACTOR EMAIL: rightonheating@frontier.Com CONTRACTOR LiCENSE#(REQUIRED); RIGHTHM988CM CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 39646 PRIMARY CONTACT: ❑OWNER 0 CONTRACTOR 0 OTHER(Please Specify) . CONTACT NAME: CONTACT PHONE: 425-335-4207 Jeanie@ Right On Heating CONTACT EMAIL: rig htonheating@frontler.com L BUILDING INFORMATION Existing Use of Building: SFR Contract Price of Work:$5388 _ Proposed Use of Building: same Heat Source: ❑Gas ❑Electric ❑Other BUILDING USE: OSFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: ❑Commercial ❑Accessory Structure Type of Project: [New ❑Addition ❑Remodel ❑Repair DTA. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: Adding an AC system to tie into existing furnace ASSOCIATED BUILDING PERMIT#(if applicable): MECFiAMIICALPERMIT APPit1.ICATION-' - ' < PLUMBING PERMIT APPLICATION .' ' -` CounFixturt List of Fixtures Fixture List of Fixtures Fixture Fixture Count List of Fixtures Count List of Fixtures 1 NC—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 Ventllatlor 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/OII Water Service(behind meter) Forced Air Systems Other: Medical Gas Water Valves or Fixtures Gas Fireplace/Insert/Log Roof Drains Water Heater ::•SPRINKLER,i3UPPRESSION 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!am authorized by the owner of this property to perform the work for which application Is made, and l comply with the State Contractors Law 18.27 RCW and 298.200A WAC, Cityof Everett Official Use Only LefAcxisu SZIA-6-4A-c,a ,$--17- i9 PERI \#e� ()` _oC O NAuthorized Agent Signature Date (Revised 10/10/2018)