2221 HIGHLAND AVE 2017-05-24 - Laserfiche WebLink

PERMIT APPLICATION BUILDING / MECHANICAL / PLUMBING I SIGN I SPRINKLER / DEMOLITION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET,EVERETT,WA 98201 (P)425-257-8810 1 FAX 425-257-8857 1(E)everetteps@everettwa.gov I www.everettwa.gov/permits PROJECT SITE INFORMATION PROJECT SiTE ADDRESS: 2221 Highland Ave PROPERTY TAX#: 00591000101100 LEGAL.for new construction: Short Plattsubdivision ___,_Lot No. (attach copy of long legal description) CON'T'ACT INFORMATION OWNER NAME: Dorthy Nadeau TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET 2221 Highland Ave circ Everett STATE WA zip 98201 OWNER PHONE: 425-252-2047 OWNER EMAIL: CONTRACTOR NAME Washington Energy Services CONTRACTOR ADDRESS: sraecT 3909 196th St,SW CITY Lynnwood STATE WA zip 98036 CONTRACTOR PHONE: 206-378-6927 CONTRACTOR EMAIL: JCopley@washingtonenergy.com CONTRACTOR LICENSE#(REQUIRED): WASHIES851 NS CITY OF EVERETT BUSINESS LICENSE#(REQUIRED); 54773 PRIMARY CONTACT ❑OWNER [SCONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 206-378-6708 Joyce Copley CONTACT EMAIL: JCopley@washingtonenergy.com BUILDING PERMMT APPLICA°I ION G' Existing Use of Building: Contract Price of Work:$ $1500 Proposed Use of Building Heat Source: ®Gas ❑Electric ❑Other building Type: ❑SFR-Detached ❑SFR-Attached ❑Dun lex ❑Multi-Famil)t>tt of Units: ❑Commercial ❑Industrial Type of Projert: ❑New ❑Addition ❑Remodel ❑Repair ❑T.I. OSi n ❑Sprinkler ❑Demolition ❑Chan e of Use DESCRIPTION OF WORK: Replace gas water heater;Tank Located on the main floor inside the laundry room ASSOCIATED BUILDING PERMIT# if applicable): MECHANICAL PERMIT APPLICATION PLUMBING G PERMIT APPLICATION Type of Project: —New — Addn Alteration X Repalr Type of Project: _New _Addn _Alteration _Repair #of #of #of List of Fixtures #of List of Fixtures List of Fixtures List of Fixtures Fixtures Fixtures Fixtures Fixtures A/C—Air Handling Units Heat Pump Toilet Backflow Preventer(Inside Bldg) Forced Air System Unit Heater Bathtub Urinal Gas Piping Boiler Lavatory(Wash Basin) Drinking Fountain X Water Heater Refrigeration Shower Floor Drain Gas Fireplace Wood Stove Kitchen Sink&Disposal Grease Trap Gas Range Ductinq Dishwasher Roof Drains Clothes Dr er Hzataktaps Other: Clothes Washer Medical Gas Range Hood Water Heater Other: Exhaust Fan Sink(Service/Bar/Mop/etc.) Other: SPRINKLER 1 SUPPRESSION SYSTEM Number of Heads ACKNOWLEDGEMENT.I have reviewed this appNcation and confirm the information contained herein is ince and correct.Work done:pursuant to this perrnif 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 Officrai 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, j at amply with the State Contractors Law 16f 27 RGW and 296..200A WAG. City of Everett Official Use Only t � f I'ERMI'T' 17w r uthgri ad int igr ture Date; {:R'evrsed fC�f?lZtg4.5)