5704 WETMORE AVE 2017-01-13 - Laserfiche WebLink

PERMIT APPLICATIO BUILDIN�ECHANICAL / PLUMBING / SIGN . PRINKLER / 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 siTE a,��REss:5704 Wetmore Ave LEGAL for new construction: Short PlaUsubdivision PROPERTY TAX #:004958��3�23�� Lot No. (attach copy of long legal description) CONTACT INFORMATlQN OWNER NAME: Ci1fIStOpileC' BaC�I@y TENANT NAME (If Commercial): OWNER MAILING ADDRESS: srReer5704 Wetmore Ave �,�, Everett STATE WA Z,P 98203 owNER PHONe:425-353-6395 OWNER EMAIL: CONTRACTOR NAME:WASHINGTON ENERGY SERVICES CONTRACTOR ADDRESS: srReer 3909 196TH ST SW �,TY LYNNWOOD STATE WA Z,P 98036 CONTRACTOR PHONE:2O6-3%8-GG4H CONTRACTOR EMAIL:deagle q�WaSF11t1gtOCl@Clegy.001'Yl 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 APPLICATIQN Existing Use of Building: Contract Price of Work: $ � .� Proposed Use of Building: Heat Source: ❑Gas ❑Electric ❑Other Buildin T pe: �SFR-Detached ❑SFR-Attached �uplex �Multi-Famil �# of Units: ❑Commercial ❑Industrial T pe of Pro ect: ❑New ❑Addition ❑Remodel ❑Repair ❑T.I. ❑Si n ❑Sprinkler ❑Demolition ❑Chan e of Use DESCRIPTION OF WORK: Replacing gas water heater ASSOCIATED BUILDING PERMIT #(if a licable : PLUMBING PERMIT APPLICATIQN Type of Project: _New Addn Iteration _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/Mop/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 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 Officia/ before being authorized under any circumstance. I am the owner, or 1 am authorized by the owner of this property to perform the work for which application is made, and / comply with the State Contractors Law 18.27 RCW and 296.200A WAC. DeAnna Eagle a..'.�m -::.;: .....,...... �vo�i�s Owner/Authorized Agent Signature Date City of Everett Official Use Only PERMIT # - b (Revised 10/12/2015)