110 69TH ST SE 2019-08-13 - Laserfiche WebLink

14ETT PERMIT APPLICATION BUILDING / MECHANICAL/ PLUMBING /SIGN /SPRINKLER/ DEMOLITION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT,WA 98201 (P)425-257-8810 I FAX 425-257-8857 1(E)everetteps@everettwa.gov I www.everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: 69th St. SE PROPERTY TAX#: 00392 000 00 31 04 LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: GREG OWENS TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET /13 A G q - S.c 5e- CITY 01/4/e44":7-1- id t 6 STATE to W A- ZIP q zo3 OWNER PHONE: 425-238-1463 OWNER EMAIL: gregory.p.owens@boeing.com CONTRACTOR NAME: INNOVATIVE COMFORT SYSTEMS CONTRACTOR ADDRESS: STREET 19502 56TH AVE W SUITE 101 crry LYNNWOOD STATE WA ZIP 98036 CONTRACTOR PHONE: 425-361-2526 CONTRACTOR EMAIL: OFFICE@CALLJEFFY.COM CONTRACTOR LICENSE#(REQUIRED): INNOVCS895PM CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 57868 PRIMARY CONTACT: 0 OWNER CONTRACTOR ❑ OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 425-361-2526 RANDY REYNOLDS CONTACT EMAIL: RANDY@CALLJEFFY.COM BUILDING PERMIT APPLICATION A Existing Use of Building: Contract Price of Work:$ I ffilA . Proposed Use of Building: Heat Source: ❑Gas ❑Electric ❑Other Building Type: ❑SFR-Detached ❑SFR-Attached [.Duplex ❑Multi-Family-#of Units: OCommercial ❑Industrial Type of Project: ❑New DAddition ❑Remodel ❑Repair DTA. ❑Sign ❑Sprinkler ❑Demolition OChange of Use DESCRIPTION OF WORK: Re-Mb lh. . e7FLA-C I T7_ 1 b " „Q t ASSOCIATED BUILDING PERMIT#(if applicable): MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION Type of Project: New Addn _Alteration ✓Repair Type of Project: New _Addn Alteration Repair #of #of List of Fixtures #of List of Fixtures #of List of Fixtures List of Fixtures Fixtures Fixtures Fixtures Fixtures NC-Air Handling Units _ Heat Pump Toilet Backflow Preventer(Inside Bldg) -I-_ 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 I No. of Heads ACKNOWLEDGEMENT:1 have reviewed this999application 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 canting of a permit only authorizes approved work and no deviations therefrom.Deviations must first be authorized in writing from the Building Official before being a horized der any circumstance.I am the owner,or I am authorized by the owner of this property to perform the work for which application is made, and I comply with the State C actors taw 18.27 RCW and 296.200A WAC. City of Everett Official Use Only C r� 1 l 6 �1 _J PERNI�T�� (6 l 1 Ow er/Authori a A ent SignAture Date 6t� (Revised 9/23/2016) I