2422 80TH PL SE 2017-03-13 - Laserfiche WebLink

SIPPERMIT APPLICATION BUILDING i 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 I(E)everetteps©everettwa.gov I www.everetlwa.gov/permits PROJECT SITE INFORMATION PROJECT SITE ADDRESS: 2422 80th PL SE PROPERTY TAX#: 00691100003800 LEGAL for new construction: Short Plat/subdivision __Lot No. (attach copy of long legal description) t CONTACT INFORMATION '' OWNER NAME: Faheem Siddiq TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET 2422 80th PL SE CITY Everett STATE WA IIP 98203 OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME: Washington Energy Services CONTRACTOR ADDRESS: STREET 3909 196th St.SW CITY Lynnwood STATE WA ZIP 98036 CONTRACTOR PHONE: 206-378-6927 CONTRACTOR EMAIL: JCopley@washingtonenergy.com CONTRACTOR LICENSE*REQUIRED): WASH IES851NS CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 54773 PRIMARY CONTACT: ❑OWNER 12 CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 206-378-6708 Joyce Copley CONTACT EMAIL: JCopley@washingtonenergy.com BUILDING PERMIT APPLICATION Existing Use of Building: Contract Price of Work:$ $1778.36 Proposed Use of Building: Heat Source: ®Gas ❑Electric ❑Other Building Type: ❑SFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units: ❑Commercial ❑Industrial Type of Project: ❑New ❑Addition CI Remodel ❑Repair ❑T.I. OSign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: Replace gas water heater;Tank is in the garage ASSOCIATED BUILDING PERMIT#(if applicable): MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION Type of Project: New Addn __Alteration X Repair ' Type of Project: _New _Addn _Alteration Repair .. Fixtures List of Fixtures Fixtrnes List of Fixtures #of List of Fixtures #of List of Fixtures Fixtures Fixtures NC–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 X Water Heater Refrigeration Shower Floor Drain Gas Fireplace Wood Stove WKitchen 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 iSink(Service/Bar/Mop/etcj Other: SPRINKLER I SUPPRESSION SYSTEM W !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 currant federal,slate,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,ort ant authorized by the owner of this property to perform the work for which amplication is made, and i comply with the State Contractors Law 18:27 RCW and 2.96.200,4 WAC, f j j {+ ��`` City of Everett Official Use Doty `�= ✓, 1 (1f� i ' PERMIT# O — ' '^ ` E✓ �� (f\j(x`(/11 Owner ut eti Agent Signa Date (Revised 10/1212075)