2623 RUCKER AVE 2017-07-14 - 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:2623 Rucker Ave PROPERTY TAX#:00562461401200 LEGAL for new construction: Short PlaUsubdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: Deborah DickaSon TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET 2623 Rucker Ave CITY Everett STATE WA zi, 98201 OWNER PHONE:206-327-0208 OWNER EMAIL: CONTRACTOR NAME:WASHINGTON ENERGY SERVICES CONTRACTOR ADDRESS: STREET 3909 196TH ST SW CITY LYNNWOOD STATE WA zIP 98036 CONTRACTOR PHONE:206-378-6927 CONTRACTOR EMAIL:eonat@washingtonenegy.com CONTRACTOR LICENSE#(REQUIRED):WASHIES851 NS ==CITY EVERETT BUSINESS LICENSE#(REQUIRED): 54773 PRIMARY CONTACT: ❑ OWNER IZICONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:206-378-6927 Ethan O n at CONTACT EMAIL:eonat@washingtonenergy.com BUILDING PERMIT APPLICATION Existing Use of Building: Contract Price of Work:$ Proposed Use of Building: Heat Source: ❑Gas ❑Electric ❑Other Buildim TyeeEISFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units ❑Commercial ❑Industrial Type of Proect: El New ❑Addition ❑Remodel ❑Repair ❑T.I. []Sign DSprinkler ❑Demolition ❑Chan e of Use DESCRIPTION OF WORK: Gas water heater replacement 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 #° 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 I Water Heater Refrigeration Shower 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 I SUPPRESSION SYSTEM Number of Heads ACKNOWLEDGEMENT t have reviewed this application and confirm the,ofoonation contained herein is true and correct Work done pursuant to this permit must comply with current federal.state,and local law The granting or a pemut only authorizes approved work and no deviations therefrom.Deviations.must first be authorized in writing from the Building Official belore being authorized under any circumstance.1 am the owner,or t am authorized by the owner of this property to perform the work for which application is made, and I cerrip/y with the State Contractors Law 1827 PCW and 296 200A WAC C':tty of Everett Official Use Clnly L RMIT ttr/'�Yn 0410 1/2016 ! ° If f Owner/Authorized Agent Signaturd Irate :;1