1219 W MUKILTEO BLVD 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 CONTACT INFORMATION OWNER NAME: DOUq F@fqUSOtI TENANT NAME (If Commercial): OWNER MAILING ADDRESS: srReeT 1219 W Mukilteo Blvd ��,-Y Everett STATE WA Z�P 98203 OWNER PHONE: 4257607288 OWNER EMAIL: coNTRacTOR Nanne:wASHINGTON ENERGY SERVICES CONTRa,CTOR A��RESS: sTReeT 3909 196TH ST SW �,� LYNNWOOD STATE WA Z,P 98036 CONTRACTOR PHONE: 206-378-6927 CONTRACTOR EMAIL: eonat@washingtonenegy.com CONTRACTOR LICENSE #(REQUIRED): WASH IES851 NS CITY OF EVERETT BUSINESS LICENSE #(REQUIRED): 54773 PRIMARY CONTACT: ❑ OWNER �CONTRACTOR ❑ OTHER (Piease Specify) CONTACT NAME: CONTACT PHONE:206-378-6648 DeAnna Eagle CONTACTEMAIL:deagle@washingtonenergy.com BUILd1NG P�RMlT ARPLlCATION Existin Use of Buildin : Contract Price of Work: $ �500 Proposed Use of Buildin : Heat Source: ❑Gas ❑Electric ❑Other Buildin T pe: ❑SFR-Detached ❑SFR-Attached muplex ❑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: Gas water heater replacement ASSOCIATED BUILDING PERMIT # if a licable : PLUMBING PlRMIT APPLICATION Type of Project: New Addn Iteretion Repair # of List of Fixtures # of List of Fixtures Fixtures 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: 1 have reviewed this application and confirm the information contained herein is true and correct. Work done pursuant to this permit must comply with current federel, 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 I comply with the State Contractors Law 18.27 RCW and 296.200A WAC. Ethan Onat •w�-----.--� �-��-�°• os/o2/�6 Owner/Authorized Agent Signature p Date City of Everett Official Use Only PERMIT # / YV` �� l J �l � (Revised 10/12/2015)