2201 COLUMBIA AVE 2019-11-01 - Laserfiche WebLink

OIL PERMIT APPLICATION BUILDING / MECHANICAL / PLUMBING / SIGN /SPRINKLER/ DEMOLITION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT,WA 98201 (P)425-257-8810 l FAX 425-257-8857 I(E)everetteps@everettwa.gov l www.everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: 2201 Columbia Ave Everett,WA 98203 PROPERTY TAX#: 00545001701700 LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: Anna Haala TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET 2201 Columbia Ave CITY Everett STATE WA ZIP 98203 OWNER PHONE: 206-321-9355 OWNER EMAIL: jameshaala@msn.com CONTRACTOR NAME: Smart Energy Today CONTRACTOR ADDRESS: STREET 1001 Cooper Point Rd SW cm, Olympia STATE WA Zlp 98502 CONTRACTOR PHONE: 360-637-4343 lt,1dill: TRACTOR EMAIL: heidi.p@smartenergytoday.net CONTRACTOR LICENSE#(REQUIRED): CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 052463 PRIMARY CONTACT: ❑ OWNER ®CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:360-637-4343 x 2226 Heidi Paschal CONTACT EMAIL:heidi.p@Smartenergytoday.net BUILDING PERMIT APPLICATION Existing Use of Building:Single Family Residence Contract Price of Work: $3500 Proposed Use of Building:Home Heat Source: Gas ❑Electric ❑Other Building Type: DSFR-Detached 2SFR-Attached DDuplex ❑Multi-Family-#of Units: ❑Commercial ❑Industrial Type of Project: Cd New DAddition ❑Remodel DRepair ❑T.I. ❑Sign DSprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: Installation of PV Solar Rooftop system 9kW 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 List of Fixtures #of List of Fixtures #of List of Fixtures #of List of Fixtures Fixtures Fixtures Fixtures Fixtures A/C—Air Handling Units Heat Pump Toilet Backflow Preventer(Inside Bldg) 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 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 0 1 6, 1/18/2019 PERMI # Owner/Authorized Agent Signature Date (Revised 9/23/2016)