129 75TH ST SW 2019-08-13 - Laserfiche WebLink

PERMIT APPLICATI BUILD!'I I I MECHANICAL/ PLUMBING /SIGRINKLER/ DEMOLITION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET,EVERETT,WA 98201 (P)425-257-8810 I FAX 425-257-8857 I(E)everetteps@everettwa.gov I www.everettwa.gov/permits (Blue or;Slack Ink::Onlly"Please) „ . PROJECT,"SITE INFORMATION ` PROJECT SITE ADDRESS: 129 75th Street SW PROPERTY TAX#: 0079240003500 LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) .. CONTACT INFORMATION • OWNER NAME: Joyce Cloud TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET 129 75th Street SW CITY Everett STATE WA ZIP 98203 OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME: D/B Solutions CONTRACTOR ADDRESS: STREET 2100 196th Street SW Suite#122 cny Lynnwood STATE WA ZIP 98036 CONTRACTOR PHONE: (425)744-6300 CONTRACTOR EMAIL: joe@dbsolutionsnw.net CONTRACTOR LICENSE#(REQUIRED): DBSOLSL934BK CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 52091 PRIMARY CONTACT: 0 OWNER CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: (425) 319-8294 Cell (425) 744-6300 Office Joseph Martin CONTACT EMAIL: joe@dbsolutionSnw.net " t�1BUlI .D1,NGw�ERMIT�AI�PLICd'TI�NM��'�� f Existing Use of Building:SFR Contract Price of Work:$ 6000 Proposed Use of Building: SFR Heat Source: OGas ❑Electric ❑Other Building Type: ❑SFR-Detached la'SFR-Attached ODuplex ❑Multi-Family-#of Units: ❑Commercial ❑Industrial Type of Project: ❑New ❑Addition (Remodel ❑Repair ❑T.I. ❑Sign OSprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: Install gas fireplace and gas piping from meter ASSOCIATED BUILDING PERMIT#(if applicable): ",MECHANICAL PERMIT APPLICATION • :, "PLUMBING"PERMIT"APPL,IC%(TION-rm Type of Project: _New _ Addn ✓Alteration _Repair Type of Project: _New _Addn _Alteration _Repair #of List of Fixtures #of List of Fixtures #of List of Fixtures #of List of Fixtures Fixtures Fixtures Fixtures Fixtures NC—Air Handling Units Heat Pump Toilet Backflow Preventer(Inside Bldg) Forced Air Systems _ Unit Heater Bathtub Urinal f 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 I SUPPRESSION SYSTEM.` Chemical or Water I 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 I am authorized by the owner of this property to perform the work for which application is made, and I comply with the State Contractors Law 18.27 RCW and 296.200A WAC. City of Everett Official Use Only PERMIT# �� 6/15/2018 �r� O( _ cE- Ow / uthor ed Agent Signature Date (Revised 9/23/2016)