1425 74TH ST SE 2019-08-13 - Laserfiche WebLink

PERMIT APPLICATIOI` BUILDING/MECHANICAL/PLUMBING /SIGN /SPRINKLER/ DEMOLITION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET,EVERETT,WA 98201 (P)425-257-8810 1 FAX 425-257-8857 1(E)everetteps@everettwa.gov I www.everettwa.gov/permits (Blue or Black I nk:Only%Please) PROJECT SITS INFORMATION ., PROJECT SITE ADDRESS: 1425 74th St SE PROPERTY TAX#: LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: Carol SIOVe TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET 1425 74th St SE ciT' EVERETT STATE WA zip 98203 OWNER PHONE: 425.355.9500 OWNER EMAIL: CONTRACTOR NAME: EYLANDERSALES & SERVICE CONTRACTOR ADDRESS: STREET 3601 EVERETT AVE CITY EVERETT STATE WA zip 98201 CONTRACTOR PHONE: 425.259.2161 CONTRACTOR EMAIL: CONTRACTOR LICENSE#(REQUIRED): EYLANSSO42K2 CITY OF EVERETT BUSINESS LICENSE#(REQUIRED):016363 PRIMARY CONTACT: 0 OWNER 0 CONTRACTOR 1071 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:425.231.2275 JOHN MIKIPENCIL CONTACT EMAIL: BUILDING PERMIT APPLICATION Existing Use of Building:SFR Contract Price of Work:$2000 Proposed Use of Building: Heat Source: giGas ❑Electric ❑Other, Building Type: ❑SFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units: ❑Commercial ❑Industrial Type of Project: ❑New ❑Addition ❑Remodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: REPLACE GAS FURNACE ASSOCIATED BUILDING PERMIT#(if applicable): MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATIO Type of Project: _New _ Addn _Alteration _Repair Type of Project: New Addn Alteratio, _Repair #of #of #of #of List of Fixtures List of Fi ures List of Fixtu List of Fixtures Fixtures Fixtures Fi Fixtures A/C—Air Handling Units Heat Pu-p 1 Toilet 1 ckflow Preventer(Inside Bldg) 1 Forced Air Systems pit, eater 1 B:. tub 1 Urinal Gas Piping B. e 1 Lava:a (Wash Bas' 1 Drinking Fountain Water Heater 'efriyeration 1 Shower Floor Drain ti Gas Fireplace W..d Stove 1 Kitchen Sink.: Disposal 1 Grease Trap Gas Range Ducting 1 Dishwasher 1 Roof Drains Clothes Dryer Hookups Other: 1 Clothes Washer 1 Medical Gas Range Hood 1 Water Heater 1 Other: Exhaust Fan 1 Sink(Servi :ar/Mop/eta Other: 1 1 SPRINKLER/"SUPPRE SION SYSTEM 1 1 Chemical or Water I1 I No.of Heads ACKNOWLEDGEMENT:I have reviewed this pplication and confirm the information con.ned 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 ork 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 I am authorized by the owner of this property to perform the work for which application is made, and I comply with the tate Contractors Law 18.27 RCW and 296.200A WAC. OGa: /4 t City of Everett Official Use Only PE \iZ 01( • '- 1.0`Ow'er/A , 7 ed Agent Signature e (Revised 9/23/2016)