902 WESTMINSTER CIR 2016-11-07 - Laserfiche WebLink

• PERMIT APPLICATION � BUILDING / MECHANICAL / PLUMBING / SIGN / SPRINKLER I 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 PROJECT SITE IN ECT siTE a,o�Ress:g02 Westminster Cir 00394600000400 EGAL for new construction: Short PlaUsubdivision Lot No. (attach copy of long legal description) CONTACT INFORMAT[ON OWNER NAME: Sllaf011 LaC1gUS TENANT NAME (If Commercial): OWNER MAILING ADDRESS: srREEr902 Westminster Cir �,n Everett STATE WA Z�P 98203 OWNER PHONE:425-Z52-62ZF) OWNER EMAIL: CONTRACTOR N,4nnE:WASHINGTON ENERGY SERVICES CONTRACTOR ADDRESS: sTReET 3909 196TH ST SW �,n LYNNWOOD 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 #(REQUIRE �: 54773 PRIMARY CONTACT: ❑ OWNER �CONTRACTOR ❑ OTHER (Please Specify) _�` CONTACT NAME: CONTACT PHONE:206-378-6648 DeAn n a Eag le CONTACT EMAIL: deagle@washin�tonenergy.com BUILDING PERM[T APPI.[CATI ' Existin use ot Buiidin :111 Single Family Residence - Detached Contract Price of W k: $�500 Proposed Use of Buildin : Heat Source: ❑G s ❑ I�ctric ❑Other Buildin T pe: ✓❑SFR-Detached ❑SFR-Attached �uplex ❑Multi-Famil -# of Units: ❑Commercial ❑Industrial T e of Proect: ❑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): PLUMBING PERMIT APPLICATION Type of Project: New _Addn Iteration _Repair Fi tures List of Fixtures Fixtures List of Fixtures Toilet Backflow Preventer (Inside Bld ) Bathtub Urinal Lavato (Wash Basin) Drinkin Fountain Shower Floor Drain Kitchen Sink & Disposal Grease Trap Dishwasher Roof Drains Clothes Washer Medical Gas Water Heater Other: Sink Service/Bar/Mo /etc. Other: 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 writmg irom the Building Official before being authorized under any circumstance. I am the owner, or / am authorized by the owner of this property to perform the work for which application is made, and 1 complV with the State Contractors Law 18.27 RCW and 296.200A WAC. DeAnna Eagle �� ""�' ' osi2v�s Owner/Authorized Agent Signature Date City of Everett Official Use On/y PER IT � O � � � (Revised 10/12/2015)