2126 RUCKER AVE 2017-06-29 - Laserfiche WebLink

PERMIT APPLICATIOh 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 PRO,JEGT SI"E`E'lNFaRMAT1�N PROJECT SITE ADDRESS:2126 RUCk2f AV@ PROPERTY TAX#:00439143201900 LEGAL for new construction: Short PlaUsubdivision Lot No. (attach copy of long legal description) CONTACT INFORMATiON' OWNER NAME: DlaCla LyC1Cl TENANT NAME(If Commercial): OWNER MAILING ADDRESS: sTReer2126 RUCk@f Av2 CITY Everett STATE ••' ` ZIP 98201 OWNER PHONE:425-941-8087 OWNER EMAIL: CONTw4CTOR N,4nnE:WASHINGTON ENERGY SERVICES CONTwaCrOR,a�oRESS: sTREET3909 196TH ST SW �,n LYNNWOOD STATE WA Z,P 98036 CONTRACTOR PHONE:206-378-6648 CONTRACTOR EMAIL:deagle@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:206-378-6648 DeAn na Eag le CONTACT EMAIL:deagle@washingtonenergy.com ' :�BUlLDINt�PlRM[T APPLlGA'E"1QN Existin Use of Buildin : Contract Price of Work:$�soo Pro osed Use of Buildin : Heat Source: ❑Gas ❑Electric ❑Other Buildin T pe: �SFR-Detached ❑SFR-Attached �uplex OMulti-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 APPLICATIQN PLUMBING PERMIT APPLICATION Type of Project: _New _ Addn Alteration _Repair Type of Project: New _Addn Iteration _Repair #of List of Fixtures #�f List of Fixtures #of List of Fixtures #of List of Fixtures Fixtures Fixtures Fi�rtures 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 � 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: SPRINKLER/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 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 Official before being authorized under any circumstance.I am the owner,or I am authorized 6y the owner of this property to pertorm the work for which application is made, and/comply with the State Contractors Law 18.27 RCW and 296.200A WAC. City of Everett Official Use Only PERMIT# � Ethan Onat -��r-�-�---��.�•--•-�•�n�� o3i28/1� ^ � 2 Owner/Authorized Agent Signature � Date (Revised 10/12/2015)