716 34TH ST 2017-01-13 - 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 � FAX 425-257-8857 �(E) everetteps@everettwa.gov � www.everettwa.gov/permits ' PRO�ECT SITE INFORMATIt�N DJECT SITE ADDRESS: �16 34th St PROPERTY TAX #: 00561900100101 for new construction: Short PlaUsubdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: Dallfl�/ OBC'IeCI TENANT NAME (If Commerciai): OWNER MAILING ADDRESS: srReeT�16 34th St �„-Y Everett STATE WA Z�P 98201 OwNER PHONE:425-359-1672 OWNER EMAIL: coNrRACTOR N,annE:WASHINGTON ENERGY SERVICES CONTRACTOR ADDRESS: srReeT 3909 196TH ST SW �„� LYNNWOOD STATE WA z,P 98036 CONTRACTOR PHONE: 206-378-6927 CONTRACTOR EMAIL: eOl18t p�WBShlllgtOtl@Ilegy.00171 CONTRACTOR LICENSE #(REQUIRED): WASHIES851 NS CITY OF EVERETT BUSINESS LICENSE #(REQUI eo�: 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 APPLICATION Existin Use of Buildin : Contract Price of Work: $ �200 Proposed Use of Buildin : Heat Source: ❑Gas ❑Electric ❑Other Buildin T pe: ❑SFR-Detached ❑SFR-Attached �uplex ❑Multi-Famil -# of Units: ❑Commercial ❑Industrial T e of Pro ect: ❑New ❑Addition ❑Remodel ❑Repair ❑T.I. ❑Si n ❑S rinkler ❑Demolition ❑Chan e of Use DESCRIPTION OF WORK: Replacing water heater ASSOCIATED BUILDING PERMIT # if a licable : PLUMBING PERMIT APPLICATION Type of Project: New Addn Iteretion Repair # of List of Fixtures # of List of Fixtures Fixtures Fixtures Toilet Backflow Preventer (Inside Bid ) 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 writing from the Building Official before being authorized under any circumstance. 1 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. City of Everett Official Use Only Ethan Onat .��-.-_°�.-.�.�-a., a�-�.m,• n�� 11/16l16 �#� �� '� �./� � Owner/Authorized Agent Signature p Date (Revised 10/12/2015)