8909 CORBIN DR 2017-01-13 - Laserfiche WebLink

• PERMIT APPLICATION • BUILDING / MECHANICAL / PLUMBING / SIGN / SPRINKLER / C�EMOLITION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P) 425-257-8810 � FAX 425-257-8857 �(E) everetteps@everettwa.gov I www.everettwa.gov/permits PRt}JECT SITEJNFORMATION �JECT SITE ADDRESS:89O9 COfbICI DI' PROPERTY TAX #:0054� 400000700 �AL for new construction Short Plat/subdivision Lot No. (attach copy of long legal descripti �n) CONTACT INFORMATfON owNER N,annE: STEPHEN LORENCE & DALE SELN� TENANT NAME (If Commercial): OWNER MAILING ADDRESS: sTReer8909 Corbin Dr �,n Everett STATE WA Z,P 98204 OWNER PHONE:42rJ-344-7� OH OWNER EMAIL:bIU2Sp8t�p fC'011t12f.001'Tl coNrRa,cTOR NannE:WASHINGTON ENERGY SERVICES CONTRACTOR ADDRESS: srReer 3909 196TH ST SW �„� LYNNWOOD STATE WA Z,P 98036 CONTRACTOR PHONE:2O6-3%$-664$ CONTRACTOR EMAIL:CI@8gI@ p�WaSI1111gtOClEClegy.CO CONTRACTOR LICENSE #(REQUIRED): WASHIES851 NS CITY OF EVERETT BUSINESS LICENSE #(REQUIRED : 5'4773 PRIMARY CONTACT: ❑ OWNER �CONTRACTOR ❑ OTHER (Please Specify) CONTACT NAME: CONTACT PHONE:206-378-6648 DeAn na Eag le CONTACT EMAIL: deagle@washingtonener -_ BUILDING PERIlt[[? APPLICATIQN ' Existin Use of Buildin : Contract Price of W :$ Proposed Use of Buildin : Heat Source: ❑G s ❑Ele Other Buildin T pe: OSFR-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: Replacing electric water heater ASSOCIATED BUILDING PERMIT #(if a licable : MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION Type of Project: _New Addn ✓ Alteration Repair Type of Project: _New _Addn Iteration _Repair # of List of Fixtures # of List of Fixtures # of List of Fixtures #°f List of Fixtures Fixtures Fixtures Fi�ctures Fixtures A/C — Air Handling Units Heat Pump Toilet Backflow Preventer (Inside Bld ) Forced Air S stems Unit Heater Bathtub Urinal Gas Pipin Boiler Lavato (Wash Basin) Drinkin Fountain Water Heater Refri eration Shower Floor Drain Gas Fireplace Wood Stove Kitchen Sink & Disposal Grease Trap Gas Ran e Ductin Dishwasher Roof Drains Clothes D er Hooku s Other: Clothes Washer Medical Gas Ran e Hood Water Heater Other: Exhaust Fan Sink Service/Bar/Mo /etc. Other: SPRINKLER / SUPPRESSION SYSTEM Number of Heads ACKNOWLEDGEMENT: I have reviewed this application and confirm the information contained herein is true and correct. Work done pursuant to this permit must comp/y with current federal, state, and loca/ 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. DeAnna Eagle _:'` .. . :::�. o-::...,..... �v�si�s Owner/Authorized Agent Signature Date Ciry of Everett Official Use Only PER IT r � ` O� � \ (Revised 10/12/2015)