2316 BAKER AVE 2017-10-03 - Laserfiche WebLink

• PERMIT APPLICATIOS BUILDING / MECHANICAL/ PLUMBING / SIGN / SPRINKLER/ DEMOLITION CITY OF EVERETT PERMIT SERVICES 4wrr 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:2316 Baker Ave PROPERTY TAX 4:00401649802300 LEGAL for new construction: Short Plat/subdivision Lot No (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: Cindy StallsWOrth TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET2316 Baker Ave ,,,,, Everett STATE WA ZIP 98201 OWNER PHONE:425-314-7476 OWNER EMAIL: CONTRACTOR NAME:WASHINGTON ENERGY SERVICES CONTRACTOR ADDRESS: STREET3909 196TH ST SW CITY LYNNWOOD STATE WA ZIP 98036 CONTRACTOR PHONE:206-378-6648 CONTRACTOR EMAIL:vstephensOn@Wash ingtOnenegy,com CONTRACTOR LICENSE#(REQUIRED):WASHIES851 NS CITY OF EVERETT BUSINESS LICENSE#(REQUIRED)-54773 PRIMARY CONTACT: ❑ OWNER ZCONTRACTOR ❑ OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:206-378-6648 Vanessa Stephenson CONTACT EMAIL:vstephenson@washingtonenergy.com BUILDING PERMIT APPLICATION s'` Existing Use of Building: I Contract Price of W rk/- $9400 Proposed Use of Building: Heat Source: ❑Gas;q ❑Ele tric ❑Other Building TypeOSFR-Detached I]SFR-Attached ODuplex ❑Multi-Family-#of Units: ❑Commercial ❑Industrial Type of Project: ❑New ❑Addition ❑Remodel ❑Repair ❑T I ❑Si n ❑Sprinkler Demolition ❑Chan e of Use DESCRIPTION OF WORK: Installing a ductless heatpump. ASSOCIATED BUILDING PERMIT#(if applicable): 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 AJC—Air Handling Units I Heat Pump Toilet Backflow Preventer(Inside Bldg) Forced Air Systems Unit Heater Bathtub Urinal Gas Piping Boiler Lavatory(Wash Basin) Drinking Fountain Water Heater 1 Refrigeration Shower Floor Drain Gas Fireplace Wood Stove Kitchen Sink& Disposal lGrease Trap Gas Range DuctingDishwasher Roof Drains Clothes Dryer Hookups Other: Clothes Washer Medical Gas Range Hood Water Heater Other: Exhaust Fan Sink(Service/Bar/Mop/etc.) Other: SPRINKLER/ SUPPRESSION SYSTEM Number of Heads ACKNOWLEDGEMENT.1 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 by the owner of this property to perform the work for which application is made, and l comply with the State Contractors Law 18.27 RCW and 296.200A WAC. City of Everett Official Use Only PERM( Vanessa Stephenson D''t,201pvc°5 '°40d °°° 08/15/17 -02L7 p Dalc 20».081508:43'.40-0]00' Owner/Authorized Agent Signature Date (Revised 10/1 /2015)