|
u
<br />•
<br />PERMIT APPLICATION
<br />BUILDING / MECHANICAL / PLU11ABtNG / SIGN / SPRINKLER / DEMOLITION
<br />CITY OF EVERETT PERMIT SERVICES
<br />3200 CEDAR STREET, EVERETT, WA 98201
<br />(P) 425-257-8810 � FAX 4?_5-257-8857 �;E) e.�eretteps�d�everettwa.gov j�nnvw.everettwa.govlpermits
<br />PRt7h.9%�T �i'Z'� iAl�C�itii�l�,TIC)hl
<br />qJECT SI7E ADDRESS: gg08 VVest Mall Dr. PRQPERTY TAX i�: p�843600D02100
<br />Cz1� for r�ew construaiir�n: Short Plat.'.>ui�div�sinn _ Lol Na (attach ccpy of long le�al deacn�;:te-n)
<br />CONTACT lNFO�'2t4��"1"Ii�M't
<br />JNER NAME: ,J�iies Ernest TENANT NAME (If Commercial):
<br />dNER MAILING ADDRESS: s-RrrT �g08 W. R4all Or,
<br />riTv Everett srare WA ziF 98208
<br />PHONE:
<br />CONTRACTOR NAME. Washinqton Energy Services
<br />CONTRACTOR ADDRESS: sTaeET 3909 196tft ;
<br />OWNER EMAIL:
<br />c�Tv �vnnw<ac�ti srnre WA r.iv 98036
<br />CONTRACTOR PNONE: 206-378-6927 CONTRACTOR EMAIL: eonat@washingtonenergy.com
<br />C�INTRACTOR LICEN5E #(REQUIR�iJ�: WASHIES851 NS CITY OF EVERETT BUSINESS LICENSE �}�REqUIR�D): 54773
<br />PRIMARY CON7ACT: ❑ OWNER � CONTRACTOR 0 OTHER (Please Specify) _,
<br />CONTACT NAME: CONTACT PHONE: 206-378-6927
<br />Ethan Onat CONTACT EMAIL: eonat@washingtonenergy.com
<br />'1
<br />xistir�c� Use of Bul���i��
<br />roposed Use of Building:
<br />uil�diny i"yF��.. ❑SFR-0etached ❑SFR-Attached
<br />����a of Prr�jz;aC: �New ❑Addition ❑RemodeE��
<br />GSGRII�71CiN OF WORK:
<br />��Contract Price of Work: $
<br />Heat Source: ❑Gas ❑Electric ❑Other
<br />1�nu��i�;x ❑Multi-F.an�ily-# of Units: . ❑Commercial ❑Industrial
<br />f"t+�n::tir ❑T.I. �15ic1rt ❑��rinkler ❑Demotition $�Chaiig�� of Use
<br />Repiace gas water hrater lucated in the garage
<br />IA,SSOCIATED BUILDING PERMIT # {if r.a�:�piicaf:ile}'
<br />___ _ _ _
<br />ACKNOtNLEDGEM�NT� / have reviewed fhis �ipphr,ahon �7r�,7 �orii?r,r lt,P ;;1(�,1r.a�ir�n „',r�tt�ia,:.d l�f�rr�io �,s trtre er! r,crrer;l. lR��rM �one t[� �:r¢�nf t� !t»s per�rn_t tr ut.t �,an1?'}� Untt�
<br />. r e( I Fr t. � i� r�: �. T� - T� a�.�� �q n! �x. � m� �t �rc ... af t r, ,-f wurh � no d✓i r. ti c n. t�r ��r i�n� �rtus I rsr '�a �rtlr.�. i�e r w �4 � r�.1r
<br />f,i.�":i �ry t.., ,. ��:�+�.,���.r. b..� ,7 �.�!-ior¢� i„-,.,e� �. y .,. r.i,�.� �.,._ic� , .. u �.,v.�+u . . � :�nr :, ,t .,��:: fl. � _ �vv-� � f ,ti�s � »,, �t} t� �..-�'rr,r ��,e eao �� ��. . „ t �.,.�i-�_< ,c.r _.� nadc.
<br />,....i ? c�, ,��y v✓;f% _,<< . � � ;ci; �.. . ;; 'Fi � l, .. vti� ;� �ri "l`ifi 7(iCA 6'L'AC
<br />�
<br />:i� c�.. '1: �I t._ �.triYp,
<br />} '�� r ` � r'�RAt;1T i: O �
<br />�_�it Si nature .__.... ._..._._ (_i.f �_�.._�:..� � �.°' d,4c�t»;e.c1 C/� 1;'i:'t?}'i) /
<br />C)wnF±r!AiitVtanzr,�! Ac[� g
<br />t t�
<br />
|