5118 27TH AVE W 2016-09-14 - Laserfiche WebLink

PERMIT APPLICATION 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 wvvw.everettwa.gov/permits P~Z6JECT SITEINFORMATION PROJECT SITE ADDRESS: 511827th Ave W PROPERTY TAX#: 29043400404900 LEGAL for new construction: Short Plat/subdivision Lot No........_ (attach copy of long legal description) '"-CONTACT INFORMATION OWNER NAME: Elizabeth Armstrong TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET 5118 27th Ave W CITY Everett STATE WA zip 98203 OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME: Washington Energy Services CONTRACTOR ADDRESS: STREET 3909 196th St.SW CITY Lynnwood ..STATE WA zip 98036 CONTRACTOR PHONE: 206-378-6927 CONTRACTOR EMAIL: JCopley@washingtonenergy.com CONTRACTOR LICENSE#(REQUIRED): WASHIES851 NS CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 54773 PRIMARY CONTACT: ❑OWNER I3 CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 206-378-6708 Joyce Copley CONTACT EMAIL: JCopley@washingtonenergy.com '�,6UIL[llNi"s PlyI714NlIT APPLIt ;4TICt1�1 •, Exlstin Use of Buildin s Contract Price of Work:$ $1651.27 Proposed Use of Buildin : Heat Source: ®Gas ❑Electric ❑Other Build nt T e: ❑SFR-Detached ❑SFR-Attached []Duplex ❑Multi-Family-##of Units: ❑Commercial ❑Industrial T'ypr,of pro`ect: ❑New ❑Addition ❑Remodel ❑Repair ❑T.I. ❑Sin ❑S rinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: Replace gas water heater;Tank is in the garage ASSOCIATED BUILDING PERMIT if applicable): MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION Type of Project: New _ Addn uAlteration X Repair Type of Project: _New _Addn _Alteration _Repair #of Fixtures FList of Fixtures #of List of Fixtures #of List of Fixtures Fixtures List of Fixtures ixtures Fixtures A/C—Air Handlin Units Heat Pump Toilet Backflow Preventer(Inside Bldg) Forced Air.S stems Unit Heater Bathtub Urinal Gas Piping Boiler Lavatory(Wash Basin) Drnkin Fountain X Water Heater Refrigeration Shower r loor Drain Gas Fireplace Wood Stove Kitchen Sink&Disposal Grease Trap Gas Raft e Ducting Dishwasher Roof Drains Clothes Dryer Ha kups Other: Clothes Washer Medical Gas Range Hood Water Heater Other: Exhaust Fan ISink(Service/Bar/Mopletc), Other: SPRINKLER I SUPPRESSION SYSTEM 'Number of Heads ACKNOWLEDGEMEN 1':t 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 authortzrs approved work and no deviations therefrom,Doviations must first be authorized in writing from the Building Official before being authorized under anycircumstance.1 am the owner.or t am authorized by the owner of this property to perform the work for which application is made. and 1 0with thn.Stale Camh'actrirs Law 18,27 RCW and 296.200A WAC. City of Everett Official Use Onlyi PERMIji�I I_�1 O, _ r„ Qr -4 OW or] utho zed Agent s gna re rt!Ite {R#vF#erf yttr{717tJ35) t \.`