Laserfiche WebLink
PERMIT APPLICATION <br /> BUILDING/ MECHANICAL! PLUMBING/SIGN /SPRINKLER/ DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET,EVERETT,WA 98201 <br /> (P)425-257-8810 I FAX 425-257-8857 I(E)everetteps@everettwa.gov I www.everettwa.gov/permits <br /> (B1114'oTBldck;jekOnlly►`.Pleass) PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS: 7)-y Sts- PROPERTY TAX#:00708000008000 <br /> LEGAL far new construction: Short Plat subdivision_ Lot No. (attach copy of long legal description) <br /> ;CONTACT INFORMATION <br /> OWNER NAME: john baron TENANT BUSINESS NAME(Commercial): <br /> OWNER MAILING ADDRESS: smear 503 74th st SW <br /> orrY EVERE I I STATE WA zip 98203 <br /> OWNER PHONE, 425-238-4695 OWNER EMAIL: <br /> CONTRACTOR NAME:GS HEATING <br /> CONTRACTOR ADDRESS: sTRear 3409 EVERETT AVE <br /> c ry EVERETT STATE WA zrP 98201 <br /> CONTRACTOR PHONE:425-252-4402 CONTRACTOR EMAIL:INSTALL@GSHEATING.COM <br /> CONTRACTOR LICENSE#(REQUIRED):GSHEAHC821 QR CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 60058 <br /> PRIMARY CONTACT: ❑OWNER El CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE:425-252402 <br /> DAWN WEIMER CONTACT EMAIL:DAWN@GSHEATING.COM <br /> ..:.............:....•,,,;: .:. ...........;'::.::::•;::.; `::::::;:.;:::•;.,...._..::..•:.-BU1LOIN G INFORMATION ... ... . . <br /> Existing Use of Building:RES1DENTAIL Contract Price of Work:$2000 <br /> Proposed Use of Building:RESIDENTAIL Heat Source: EGas DElectric DOther <br /> BUILDING USE: !]SFR ❑Townhouse ❑Duplex EADU EMulti-Family-#Units: ❑Commercial ElAccessory Structure <br /> Type of Project- ENew ❑Addition ERemodel ERepair OT.I. Sign ❑Sprinkler ❑Demolition `Change of Use <br /> DESCRIPTION OF WORK: REPLACE GAS FURANCE <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> MECHANICAL PERMIT,.APPLICATION PLUMBING PERMIT:APPLICATION <br /> FhdureFatvrr Fixture Fixture <br /> Count List of Fixtures Come List of Fixtures List of Fixtures Count List of Fixtures <br /> CourrtNC–Ar Handing Units Gas Piping Backflow Preventer(Inside Bldg) Shower,Tub,or Combo <br /> Boiler Gas Range Clothes Washer Sink-Commercial(3-comp,prep,floor) <br /> Clothes Dryer Heat PI]mp&Ductless Dishwasher Sink-Residential(kitchen,bath,ber) <br /> Duct System(Remodel) Refrigeration Drinking Fountain Sink-Utility,laundry,mop <br /> Exhaust Fans(Residential) Commercial Ventilator Floor Drain Toilet <br /> Exhaust Hood(Type)) (Not Heat/AC system) Hose Bibb Urinal <br /> Exhaust Hood(Type II) Water Heater lnterceotor-Grease Waste/Water Piping Repair <br /> Exhaust Hood(Residential) Wood Stove Interceptor-Sand/Oil Water Service(behind meter) <br /> Forced Air Systems Other. Medical Gas Water Valves or Fixtures <br /> Gas Fireplace/Insert/Log Rcof Drains Water Heater <br /> c:::SPRINKLERii,SUPPRESSION:'SYSTEM';;;;>;::::: Sewage Ejector or Sump Pump Other. <br /> Water Suppression System No.of Heads <br /> Chemical Suppression System No.of Heads <br /> ACKNOWLEDGEMENT.•/have reviewed this application and confirm the information contained herein is true and correct Work done pursuant to this permit must comply with <br /> current federal,state,and local law.The granting of a permit on/y authorizes approved work and no deviations therefrom.Deviations must first be authorized In writing from the <br /> Building Official before being authorized under any circumstance.1 am the owner,or I am authorized by the owner of this property to perform the work for which application Is made, <br /> and/comply with the State Contractors Law 16.27 RCWand 296.200A WAG <br /> CityofEverett Official Use Only <br /> W <br /> DAWNWEIMER 2/26/2019 PE 1 Ili#\\ itty1. 02 '— O(Q <br /> Owner/ A eSignature Date (Revised 10/102018) TS9 <br /> }}t <br />