1522 LOMBARD AVE 2016-11-07 - Laserfiche WebLink

• PERMIT APPLICATION� BUILDING / MECHANICAL I PLUMBING / SIGN I SPRINKLER / DEMOLITION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P) 425-257-8810 � FAX 425-257-8857 �(E) everetteps@everettwa.gov � www.everettwa.gov/permits CONTACT INFORMATION ' OWNER NAME: DaVICI POIII TENANT NAME (If Commercial): OWNER MAILING ADDRESS: srREEr1522 Lombard Ave �,n Everett STATE WA Z,P 98201 OWNER PHONE:42�J-349-090% owNER EMai�:davidpohl964@comcast.net CONrRacTOR NaME:WASHINGTON ENERGY SERVICES CONTRACTOR ADDRESS: sTReeT 3909 196TH ST SW �,n LY N N WOO D STATE WA Z,P 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: ❑ OWNER �CONTRACTOR ❑ OTHER (Please Specify) CONTACT NAME: CONTACT PHONE:206-378-6648 DeAn na Eag le CONTACT EMAIL: deagle@washingtonenergy.com BUILDING PERMIT APPLtCAT10N Existin use of Buiidin :111 Single Family Residence - Detached Contract Price of Work: $1255.83 Proposed Use of Buildin : Heat Source: ❑Gas ❑Electric ❑Other Buildin T pe: �✓ SFR-Detached ❑SFR-Attached muplex ❑Multi-Famil -# of Units: ❑Commercial ❑Industrial T pe of Pro ect: ❑New ❑Addition ❑Remodel ❑Re air ❑T.I. ❑Si n ❑S rinkler ❑Demolition ❑Chan e of Use DESCRIPTION OF WORK: Replacing gas water heater ASSOCIATED BUILDING PERMIT #(if a licable : MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION Type of Project: _New _ Addn �/ Alteration _Repair Type of Project: New Addn Iteration _Repair # of List of Fixtures #�f 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 Bld ) Forced Air Systems Unit Heater Bathtub Urinal Gas Pipin Boiler Lavato (Wash Basin) Drinkin Fountain i Water Heater Refri eration Shower Floor Drain Gas Fireplace Wood Stove Kitchen Sink & Disposal Grease Trap Gas Range Ducting Dishwasher Roof Drains Clothes D er Hooku s Other: Clothes Washer Medical Gas Range Hood Water Heater Other: Exhaust Fan Sink Service/Bar/Mo /etc. Other: SPRINKLER / SUPPRESSION SYSTEM Number of Heads ACKNOWLEDGEMENT: 1 have reviewed this app/ication 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 pertorm the work for which application is made, and 1 comply with the State Contractors Law 18.27 RCW and 296.200A WAC. DeAnna Eagle �- - - osi2si�s Owner/Authorized Agent Signature Date City of Everett Official Use Only P�� o� -� �SS (Revised 10/12/2015)