1021 SE EVERETT MALL WAY 2016-09-20

� � PERMIT APPLICATION BUILDING / MECHANICAL / PLUMBiNG / SIGN / SPRINKLER I DEMOLITION CITY OF EVERETT PERMIT SERVICES - 3200 CEDAR STftEET, EVERETT, WA 98201 (F) 425-257-881Q ', FAX 425-257-OB5? I!E) everetteps@everettwa.gov � www.evcr�itwa.gov/permits �FtClJE+G'T" Sil`� It�l�t3RMA°�"!Ct%i : :' �ROJECT SITE ADDRESS:1021 SE Everett Mall Way #F P�OPERTY TAX #:�� 0800�n0600 ... ��/1L for new canstruetion: Short f�lal,,`suk�cfivrs+on � L€�t No- (attach copy oF long legal description) � � � �'�� otira�� vRnn��r�+�r� ?WNER NAME: MlCila2l LaflCaSt2t" TENANT NAME (If Commercial): )WNER MAILING ADDRESS: sraeer1021 SE Everett Mall Way #F �,N Everett srATE WA �_,P 98208 )WNER PHONE:36O-%�0-3244 OWNER EMAIL:i`Q�ibG't"�4()Itl Q�,'}�tTlalI.00111 NTRAc7oR NAMe:�NASHINGTON ENERGY SERVICES NTRACTOR ADDRESS: srReEr 3909 196TH ST SW CITY LYN N WOO D S1��T., WA z;� 98036 NTRACTOR PHONE: 206-378-6927 CONTRACTOR EMAIL: eonat@washingtonenegy.com hi�'RA�TCaR ucENSE #��QuiReo�: �NASH IES851 NS C17V' OF EVERET7 BUSINESS LICENSE #jit�qlllf{ jt 54'773 . : IMARY CONTACT: ❑ OWNER �✓ GC?NTRACTOR ❑ OTHER (Please Specify) NTACT NAME: CONTACT PHONE:206-378-6927 E l h C�' n Q n c'a l CONTACT EMAIL: eonat@washingtonenergy.com ;. : �s#,i1.1�u�Ein�!.,R��r�m�r.i+ir�-R..��r�►�:��an� ;,. ;:; r, , .. =:..� Existin Use of Buildin �ai 5'ngle Family ResidenceContlominium Delac�ed COIItf3Ct P�fCQ Of WOiK: �3,922.00 Proposed Use of Buiidin : Heai Source: �Gas ❑Electric ❑Other C3uiiding �' �; ❑SFR-Detached ❑SFR-Attached ❑t�u lex �Mutti-Far�i -# of Uni ❑Commercial ❑Indi °iypa of f�ro"er.t, ❑New ❑Addition ❑Remodei ❑Repal� C]T.i. ❑Sign nn ler ❑ molition ❑�han e of Use t7ESCRIATIt?N OF WORK: Replacing water hea r �-Uv1 �%e`� � TED BUILDING PERMIT # A:'KPJCiWLF_Dt�'f=MEIJ?` t have revi�=4ved t1�is appiicalion an� conFrm the informa}ion contarned herern i; trye ar,d correct, th'ork dr,ne pursu�r�tt�� this pe�mit must cr,mply wiln cnrent feder;tJ, state, une toca! �a:v t'he g'anlrnq of a perm,rt or.ly authonzes appruved worh and nc devraiions therelrom. Devrations must fi�;t be authodzed in wrrtiry !rorn the f3ui;tling OHicrui befoie Y,e+ng au!t,onzed under any ci�cumsrartr.e 1 am fhr.� owne�, or f arr. authoriz2�i by fhe owner ol this property tc� perform t!;e w-ork ror which a�,pfrr.a!ion is n�acie, rad I.r.cmplq ;vrtYr lhe �tate Conrr,'u;urs L�v: +H 2i' RCvL' arrd `196.2v0A iNr?C Ci!y r�l Fverelt C1fir.ial tJsr pnf� � .� �� _ �� ,� � l� � � �r;,�� I ;i� u':` �`� Offli8;lfi � "`v t �l.- t t.' ` ` ^--------:� - alwtric��YAuthtiri�e�t�s�tTr�f S�gi�al�ui�cs �� Dat� (Rc�vi�r��fC71,+?1�t�15;