1421 COLBY AVE 2017-08-10 - Laserfiche WebLink

PERMIT APPLICATION 'MECHANICAL ECHANICAL / PLUMBING / SIGN /ORINKLER/ DEMOLITION CITY OF EVERETT PERMIT SERVICES OL 3200 CEDAR STREET, EVERETT,WA 98201 (P)425-257-8810 1 FAX 425-257-8857 1 (E)everetteps@everettwa.gov I www.everettwia.gov/permts PROJECT SITE INFORMATION PROJECT SITE ADDRESS:1421 Colby Ave PROPERTY TAX#:00475329201000 LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT IFORN1i1ATION OWNER NAME: John Hollis TENANT NAME(If Commercial): OWNER MAILING ADDRESS: ......1421 Colby Ave CITY Everett STATE WA ,, 98201 OWNER PHONE:(425)330-8246 OWNER EMAIL: CONTRACTOR NAME:WASHINGTON ENERGY SERVICES CONTRACTOR ADDRESS: STREET 3909 196TH ST SW CITY LYNNWOOD STATE WA ZIP 98036 CONTRACTOR PHONE:206-378-6648 CONTRACTOR EMAIL:deagle@washingtoneriEroy.Corn CONTRACTOR LICENSE#(REQUIRED):WASHIES851 NS CITY OF EVERETT BUSINESS LICENSE i.,(REQUIRED): 54773 PRIMARY CONTACT: ❑ OWNER IZICOINTRACTOR ❑ OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:206-378-6648 DeAnna Eagle CONTACT EMAIL:deagle@washingtonenerc!y.Corn B 1 tWDING PERMIT ALICATION Existing Use of Building: Contract Price of Work: $1200 Proposed Use of Building: Heat Source: [--]Gas ❑Electric ❑Other_ Buildin Type: ❑SFR-Detached ❑SFR-Attached duplex ❑Multi-Family-#of Units: DCommerciFl ❑Industrial Type of Project: ❑New ❑Addition ❑Remodel ❑Repair ❑T.1. ❑Sin ❑Sprinkler ❑Demolition ❑Charge of Use DESCRIPTION OF WORK: Replacing gas water heater. (ASSOCIATED BUILDING PERMIT# if applicable): MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLI ATION Type of Project: _New _ Addn Alteration _Repair Type of Project: _New _Adel _Repair #of List of Fixtures #of List of Fixtures #of List of Fixtures #of u _ 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) Drinu!ngFountain 1 Water Heater 1 Refrigeration fShower Floor Drair. Gas Fireplace Wood Stove Kitchen Sink&Disposal Gre-ase_Trap Gas Range Ducting Dishwasher Roo`Drains Clothes Dryer Hookups Other: Clothes Washer _ Medical Gas Range Hood Water Heater Other Exhaust Fan Sink (Service/Bar/Mop/etc.) l0ther 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 permie 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 c uthorized 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 waich application is made, and I comply with the State Contractors Law 18.27 RCW and 296.200A WAC City o: Eve,-.r J.:ic at Use Only PERMIT# J 2 Griffin Price 4/18/17 —I Owner/Authorized Agent Signature Date (Revised 10/12/2015)�u