1302 COLBY AVE 2016-05-18 - Laserfiche WebLink

4677PERMIT APPLICATION BUILDING I IOIECHANICAL / PLUMBING I SIGN / SSINKLER/ DEMOLITION CITY OF EVERETT PERMIT SERVICES /1/1 (r2 D.a—D(� (p 3200 CEDAR STREET, EVERETT,WA 98201 g- 23-/6 (P)425-257-8810 I FAX 425-257-8857 I(E)everetteps@everettwa.gov I www.everettwa.gov/permits PROJECT SITE INFORMATION PROJECT SITE ADDRESS:1302 Colby Ave PROPERTY TAX#:00438524503101 LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: David Duffy TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET 1302 Colby Ave c,T- Everett STATE WA ZIP 98201 OWNER PHONE:425-252-3235 OWNER EMAIL: CONTRACTOR NAME:WASHINGTON ENERGY SERVICES CONTRACTOR ADDRESS: STREET 3909 196TH ST SW cin LYNNWOOD STATE WA ZIP 98036 CONTRACTOR PHONE:206-378-6927 ,CONTRACTOR EMAIL:eonat@washingtonenegy.com CONTRACTOR LICENSE#(REQUIRED):WASHIES851 NS CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 54773 PRIMARY CONTACT: 0 OWNER nCONTRACTOR ❑ OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:206-378-6927 Ethan On at CONTACT EMAIL:eonat@washingtonenergy.com BUILDING PERMIT APPLICATION Existing Use of Building: Contract Price of Work: $ Proposed Use of Building: Heat Source: ❑Gas ❑Electric ❑Other Building Type USER-Detached ❑SFR-Attached ODuplex ❑Multi-Family-#of Units:__ ❑Commercial ❑Industrial Type of Project: ❑New ❑Addition ❑Remodel DRepair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: Gas water heater replacement in the basement. ASSOCIATED BUILDING PERMIT#(if applicable). MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION Typeof Project:ect: _^New _ Addn _Alteration ✓Repair Type of Project: New Addn _Alteration ,Repair #of #of #of #of List of Fixtures List of Fixtures List of Fixtures 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 Number of I-leads 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 1 aw 18 27 RCW and 296 200A WAC City of Everett Official Use Only 03/23/16 PERM #( 00 ,.._0(0 ,0(/(", Owner/Authorized Agent Sl //lure Date (Revised 10/12/2015)