3302 56TH ST SW 2017-01-13 - Laserfiche WebLink

PERMIT APPLICATIOF� _ 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 CONTACT INPORMATION OWNER NAME: VII1Cetlt RUf1C11f1CJ TENANT NAME (If Commercial): OWNER MAILING ADDRESS: srReer 3302 56th St SW �,n Everett STATE WA Z�P 98203 owNER PHONE:425-347-5896 OWNER EMAIL: cONTRa,cTOR NannE:�NASHINGTON 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 #(REQUIRED): 54773 PRIMARY CONTACT: ❑ OWNER �CONTRACTOR ❑ OTHER (Please Specify) CONTACT NAME: CONTACT PHONE:206-378-6648 DeAnna Eagle CONTACTEMAIL:deagle@washingtonenergy.com BUILDING PERMIT APPLICATION ' Existin Use of Buildin : Contract Price of Work: $ ��56.�� Proposed Use of Buildin : Heat Source: ❑Gas ❑Electric ❑Other Buildin T pe: ❑SFR-Detached ❑SFR-Attached mu lex ❑Multi-Famil -# of Units: ❑Commercial ❑Industrial T e of Pro ect: ❑New ❑Addition ❑Remodel ❑Re air ❑T.I. ❑Si n ❑S rinkler ❑Demolition ❑Chan e of Use DESCRIPTION OF WORK: Replacing electric water heater ASSOCIATED BUILDING PERMIT # if a licable : ACKNOWLEDGEMENT: l 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 pertorm the work for which application is made, and l comp/y with the State Contractors Law 18.27 RCW and 296.200A WAC. Ethan Onat �..�,, .,,,,. v� -w_.._,_a>...�w..�..�. 11/15/16 Owner/Authorized Agent Signature Date City of Everett Official Use Only PERf�IIT� � VV\ (Revised 10/12/2015)