3414 KROMER AVE 2017-03-03 - Laserfiche WebLink

477PERMIT APPLICATION BUILDING / MECHANICAL/ PLUMBING / SIGN / SPRINKLER / DEMOLITION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT,WA 98201 (P)425-257-8810 I FAX 425-257-8857 1(E)everetteps@everettwa.gov I www.everettwa.gov/permits PROJECT SITE INFORMATION PROJECT SITE ADDRESS:3414 Kromer Ave PROPERTY TAX#:00437783003200 LEGAL for new construction. Short Plat/subdivision Lot No, (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: Kim Ratliff TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET 3414 Kromer Ave CITY Everett STATE WA ZIP 98201 OWNER PHONE:425-388-8957 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 ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:206 378 6648 DeAnna Eagle CONTACT EMAIL:deagle@washingtonenergy.com BUILDING PERMIT APPLICATION Existing Use of Building: Contract Price of Work: $1500 Proposed Use of Building: Heat Source: EGas Electric ❑Other Building Type: QSFR-Detached ❑SFR-Attached Ebuplex ❑Multi-Family-#of Units: OCommercial ❑Industrial Type of Project: ❑New DAddition ❑Remodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: Replacing gas water heater (ASSOCIATED BUILDING PERMIT#(if applicable): MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION Type of Project: _New Addn DAlteration Repair Type of Project: _New _Addn EAlteration _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 1 Gas Piping Boiler Lavatory(Wash Basin) Drinking Fountain 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# Ethan Onat -��..._.:..m._.o.:>..,o01/17/17 O u `t Owner/Authorized Agent Signature Date (Revised 10/12/2015)