1338 MADRONA AVE 2017-06-20 - Laserfiche WebLink

PERMIT APPLICATION BUILDING I MECHANICAL I PLUMBING I SIGN 1 SPRINKLER I DEMOLITION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT,WA 98201 (P)425-257-8810 1 FAX 425-257-8857 1(E)everetteps@a everettwagov 1 www.everettwa.gov/permits PROJECT SITE INFORMATION PROJECT SITE ADDRESS.1338 Madrona Ave PROPERTY TAX#'00505700002101 LEGAL for new construction: Short Piatlsubdiviston— ___ _ Loi No (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: LOMBARD NANCY JO & TED TENANT NAME(If Commercial): OWNER MAILING ADDRESS- sTRErT1338 Madrona Ave CITY Everett STATE WA LIP 98203 OWNER PHONE:425-931-8043 OWNER EMAIL: CONTRACTOR NAME:WASHINGTON ENERGY SERVICES CONTRACTOR ADDRESS: STREET 3909 196TH ST SW CITY LYNNWOOD STATE WAZr 98036 CONTRACTOR PHONE:206-378-6927 CONTRACTOR EMAIL:eonat@washingtonenegy.com CONTRACTOR LICENSE#(REQUIRE©):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 »utLllalN .PERM IT APPLICATION Existing Use of Buildin :111 Single Family Residence-Detached Contract Price of Work:$1,500.00 Proposed Use of Building: Heat Source: Gas ❑Electric ❑Other BuildingType: SFR-Detached ❑SFR-Attached []Duplex ❑Multi-Family-#of Units: ❑Commercial ❑Industrial Type of Project: ❑New ❑Addition ❑Remodel ❑Repair ❑T.I. ❑Sin ❑S rinkler ❑Demolition ❑Chan e of Use DESCRIPTION OF WORK: Replacing gas water heater ASSOCIATED BUILDING PERMIT# If applicable): MECHANICAL PERMIT APPLICATION PLUM113INiG'PERMIT APPLICATION Type of Project: _New _ Addn _Alteration _Repair Type of Project: _New _Addn _Alteration _Repair #of #of List of Fixtures List of Fixtures #of List of Fixtures #of List of Fixtures Fixtures Fixtures Fixtures Fixtures AIC--Air Handling Units Heat Pump Toilet Backflow Preventer(Inside Bldg) Forced Air stems Unit Heater Bathtub Urinal Gas Pt lin Boiler Lavato (wash Basin) Drinking Fountain Water neater 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 I SUPPRESSION SYSTEM NuITtPaer of Heads ACKNO WLLOGEMEN T.1 have reviewed this application and confirm the information contained herein is true and correct Work done pursuant to this permit fnust 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 auhmnzed in writing from the Building Official before being authorized under any circumstance,1 am the owner,or t am authorized by the owner of this property to perform the work for vinch application is made, and 1 comply with the State Contractors t..a7r 18.27 R;;W,and 236,200A WAC City of Everett Official Use Ortty P l ;t tZS _o3S 08/12/16 ed 10/1212 Owner/Authorized Agent Sig re Irate (Revis