1932 VIRGINIA AVE 2017-01-18 - Laserfiche WebLink

477- 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 I(E)everetteps@everettwa.gov I www.everettwa.gov/permits PROJECT SITE INFORMATION PROJECT SITE ADDRESS:1 932 Virginia Ave PROPERTY TAX#:00438438601 700 LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: Lillian Proulx TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET 1932 Virginia Ave CITY Everett STATE WA ZIP 98201 OWNER PHONE:425-308-3920 OWNER EMAIL: CONTRACTOR NAME:WASHINGTON ENERGY SERVICES CONTRACTOR ADDRESS: STREET 3909 196TH ST SW CITY LYNNWOOD STATE WA ZIP 98036 CONTRACTOR PHONE:206-378-6648 CONTRACTOR EMAIL:deagle@WaShingtOnenegy.COm CONTRACTOR LICENSE#(REQUIRED):WASHIES851 NS CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 54773 PRIMARY CONTACT: ❑OWNER (CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:206 378 6648 DeAnna Eagle CONTACT EMAIL:deagle@washingtonenergy.com BUILDING PERMIT APPLICATION Existing Use of Building:111 Single Family Residence - Detached Contract Price of Work: $1500 Proposed Use of Building: Heat Source: ❑Gas DElectric ❑Other Building Type: OSFR-Detached DSFR-Attached muplex DMulti-Family-#of Units: OCommercial ❑Industrial Type of Project: ❑New ❑Addition DRemodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler ODemolition ❑Change of Use DESCRIPTION OF WORK: ASSOCIATED BUILDING PERMIT#(if applicable). MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION Type of Project: New Addn Alteration _Repair Type of Project: _New _Addn _ElAlteration _Repair #of List of Fixtures #of List of Fixtures #of List of Fixtures #of List of Fixtures Fixtures Fixtures Fixtures Fixtures A/C—Air Handling Units Heat Pump Toilet Backflow Preventer(Inside Bldg) Forced Air Systems Unit Heater Bathtub Urinal Gas Piping Boiler Lavatory(Wash Basin) Drinking Fountain 1 Water Heater Refrigeration Shower Floor Drain Gas Fireplace Wood Stove Kitchen Sink&Disposal Grease Trap Gas Range Ducting Dishwasher Roof Drains Clothes Dryer Hookups Other: Clothes Washer Medical Gas Range Hood Water Heater Other: Exhaust Fan Sink(Service/Bar/Mop/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 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 perform the work for which application is made, and I comply with the State Contractors Law 18.27 RCW and 296.200A WAC. City of Everett Official Use Only PERMIT# CO ( � O DeAnna Eagle .,,„-n �-,.—,T�w.•.�_ .. 11/07/16 YYY��/// ` Owner/Authorized Agent Signature Date (Revised 10/12/2015)