1621 107TH ST SW 2017-06-07 - Laserfiche WebLink

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 1(E)everetteps@everettwa.gov I www.everettwa.gov/permits PROJECT SITE INFORMATION PROJECT SITE ADDRESS:1621 107th St SW PROPERTY TAX#:00552300301102 LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: Mark Anderson TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET 1621 107th St SW CITY Everett STATE WA Z!" 98204 OWNER PHONE:425-244-0793 OWNER EMAIL: CONTRACTOR NAME:WASHINGTON ENERGY SERVICES CONTRACTOR ADDRESS: STREET 3909 196TH ST SW CITY LYNNWOOD STATE WA z,P 98036 CONTRACTOR PHONE:206-378-6927 CONTRACTOR EMAIL:eonat@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:206-378-6927 Ethan Onat CONTACT EMAIL:eonat@washingtonenergy.com BUILDING PERMIT APPLICATION Existing Use of Budding Contract Price of Work: $ Proposed Use of Building; I Heat Source: []Gas El Electric []Other Building Type: ❑SFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units ❑Commercial ❑Industrial Type of Project ❑New ❑Addition ❑Remodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: Gas water heater replacement inside laundry room ASSOCIATED BUILDING PERMIT#(if applicable)' MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION Type of Project: _New _ Addn _Alteration _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 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 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 I lood Water Heater Other: Exhaust Fan Sink(Service/Bar/Mop/etc.) Other: SPRINKLER/ SUPPRESSION SYSTEM Nun-bei of I-Ie�ids _ A.CKW)WL.E'DGF'MEN71 have reviewed this application and confirm the Oforrralion contained her, 'n is true and correct Work clone 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 frorn the Building Official before,being authorized tinder any circumstance 1 am the owner,o(/am authonzec by the owner of this property to perforin the work for which application is made, and l comply with the Stale Contractors Law 16 27 RCW and 296 200A WAC Crly of Everett Official Use Only / PERMIT t# 03124M k LV i1i3 Owner) uthrt ized gent Signature Date (Rovrsed 101121201:)