2317 HIGHLAND AVE 2017-05-24 - Laserfiche WebLink

r PERMIT APPLICATION BUILDING / MECHANICAL/PLUMBING /SIGN /SPRINKLER/DEMOLITION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET,EVERETT,WA 98201 (P)425-257-8810 1 FAX 425-257-8857 {(E)everetteps@everettwa.gov I www.everettwa.gov/permits PROJECT SITE INFORMATION PROJECT SITE ADDRESS: 2317 Highland Ave PROPERTY TAX#: 00453350700800 LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of lorg legal description) CONTACT INFORMATION OWNER NAME: Cynthia Mattern TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET 2317 Highland Ave i cnv Everett STATE WA zip 98201 OWNER PHONE: 425-737-0525 or 425-737-2400 OWNER EMAIL: CONTRACTOR NAME: Washington Energy Services CONTRACTOR ADDRESS: STREET 3909 196th St.SW ctry Lynnwood STATE WA zip 98036 ° CONTRACTOR PHONE: 206-378-6708 CONTRACTOR EMAIL: JCopley@washingtonenergy.com CONTRACTOR LICENSE#(REQUIRED): WASHIES85INS CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 54773 PRIMARY CONTACT: ❑OWNER ❑CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 206-378-6708 Joyce Copley CONTACT EMAIL: JCopley@washingtonenergy.com BUILDING PERMIT APPLICATION Existing Use of Buildin Contract Price of Work:$ $1,500 Proposed Use of Buildin Heat Source: ®Gas ❑Electric ❑Other Building Type: ❑SFR-Detached ❑SFR-Attached ❑Du lex []Multi-Family-#of Units: ❑Commercial ❑Industrial Type of Project: ❑New ❑Addition ❑Remodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: Replace gas water heater located on back porch ASSOCIATED BUILDING PERMIT#(if applicable). MECHANI+ AL PERMIT APPLICATION PLUMBING PERMIT APPLICATION Type of Project: _New — Addn _Alteration X Repair Type of Project: New _Addn _Alteration Repair #of List of Fixtures #of List of Fixtures #of List of Fixtures #of List of Fixtures Fixtures Fixtures Fixtures Fixtures AIC—Air Handling Units Heat Purnp Toilet Backflow Preventer(Inside Bldg) Forced Air S steam Unit Heater Bathtub Urinal Gas PiPina Boiler Lavatory Wash Basin) Drinkin Fountain X Water Heater Refriqeration Shover Floor Drain Gas Fireplace Wood Stove Kitchen Sink&Disposal Grease Trap Gas Ran e 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 1 have reviewed this application and confirm the infonnation containedherein is true and correct.Work dorie pursuant to this permit must comply with current federal,state,and local law,rhe granting of a permit only authorizes approved work and no deviations therefrom.Deviations rrui t first W aufhnrtemi in wtftug/ron?the Building Official before being authorized under any circumstance.t am the owner,or t am authorized by the owner of this property to Ere lnr n the wmh frx which A,t ation is made, and f comply with the State:Contractors L aw 18.27 RCW and 296,200A WAC. City of Everett Official We Only PERMIT# 18!16 M I ��✓ C /� «�,-,.�......�. owne�A%7izedt9elit Signature Date (Revised loll P/201,5) 4'�X