2529 PANAVIEW BLVD 2017-06-28 - 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 � FAX 425-257-8857 � (E)everetteps@everettwa.gov� www.everettwa.gov/permits PROJECT SITE INFaRMAT10N PROJECT SITE ADDRESS:2529 PanaVleW BIVCI PROPERTY TAX#:006�37��029�� LEGAL for new construction: Short PlaUsubdivision Lot No. (attach copy of long legal description) CmNTACT INFORMATION OWNER NAME: BOb LaWfeC1C2 TENANT NAME(If Commercial): OWNER MAILING ADDRESS: srReeT2529 Panaview Blvd �,N Everett STATE WA Z�P 98203 OWNER PHONE:'42rJ-Z�S-OZG7 OWNER EMAIL: CONTRACTOR NAME;wASHINGTON ENERGY SERVICES CONrwaCTOR ADDRESS: sTREET 3909 196TH ST SW �,n LYNNWOOD STATE WA Z,P 98036 CONTRACTOR PHONE:ZO6-37$-664$ CONTRACTOR EMAIL:deagl2@WaSI11C1gtOC1et12gy.00lll CONTRACTOR LICENSE#(REQUIRED):WASHIES851 NS CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 54773 PRIMARY CONTACT: ❑OWNER �CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:206-378-6648 DeAn na Eag le CONTACT EMAIL:deagle@washingtonenergy.com BUILDING PERMIT APPLICATION Existin use of Buiidin :111 Single Family Residence- Detached Contract Price of Work: $1500 Proposed Use of Buildin : Heat Source: ❑Gas ❑Electric ❑Other Buildin T pe: ✓OSFR-Detached ❑SFR-Attached muplex ❑Multi-Famil -#of Units: ❑Commercial ❑Industrial T e of Pro ect: ❑New ❑Addition ❑Remodel ❑Re air ❑T.I. ❑Si n ❑S rinkler ❑Demolition ❑Chan e of Use DESCRIPTION OF WORK: Replacing gas water heater ASSOCIATED BUILDING PERMIT# if a licable : MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION Type of Project: _New Addn ✓ Alteration _Repair Type of Project: _New _Addn Iteration 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 Bld ) Forced Air S stems Unit Heater Bathtub Urinal Gas Pipin Boiler Lavato (Wash Basin) Drinkin Fountain i Water Heater Refri eration Shower Floor Drain Gas Fireplace Wood Stove Kitchen Sink& Disposal Grease Trap Gas Ran e Ductin Dishwasher Roof Drains Clothes D er Hooku s Other: Clothes Washer Medical Gas Ran e Hood Water Heater Other: Exhaust Fan Sink(Service/Bar/Mo /etc. Other: SPFtINKLER/SUPPRESSION SYSTEM 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 current federal,state,and/ocal law The granting of a permit on/y authorizes approved work and no deviations therefrom.Deviations must first be authorized in writing from the Building Official before being authorized under any circumstance. 1 am the owner,or 1 am authorized by the owner of this property to perform the work for which applicatron is made, and I comply with the State Contractors Law 18.27 RCW and 296.200A WAC City of Everett Official Use On/y PER I # DeAnna Eagle ° � - " ioioaiis �p � � Owner/Authorized Agent Signature Date (Revised 10/12/2015)