2109 COLUMBIA AVE 2017-10-18 - Laserfiche WebLink

PERMIT APPLICATIOA BUILDING•i MECHANICAL/ PLUMBING / SIGN / SPRINKLER/ 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.everettwa.gov/permits PROJECT SITE INFORMATION PROJECT SITE ADDRESS:21 09 Columbia Ave PROPERTY TAX#:00545001804000 LEGAL for new construction Short PIat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: Brian Frausto TENANT NAME(If Commercial): OWNER MAILING ADDRESS: sr,,F,2109 Columbia Ave CITY Everett _ STATE WA ZIP 98203 OWNER PHONE:425-750-3238 OWNER EMAIL:christine.frausto@gmail.com CONTRACTOR NAME WASHINGTON ENERGY SERVICES CONTRACTOR ADDRESS: STREET 3909 196TH ST SW CITY LYNNWOOD STATE WA ZIP 98W6 CONTRACTOR PHONE:206-378-6927 CONTRACTOR EMAIL:eonat@washingtonenegy.com CONTRACTOR LICENSE#(REQUIRED):WASHIES851 NS CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 54778 PRIMARY CONTACT: ❑OWNER EZICONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:206-378-6648 �- ®eAnna Eagle CONTACT EMAIL:deagle@washingtonenergy.com BUILDING PERMIT APPLICATION Existing Use of Buildin :111 Single Family Residence - Detached Contract Price of Work:$2,461.65 Proposed Use of Buildin Heat Source: ❑Gas []Electric ❑Other Building Type: SFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Farnily-#of Units:_ ❑Commercial ❑Industrial Type of Project: ❑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 applicable): MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION Type of Project: New _ Addn ✓ Alteration Repair Type of Project: _New _Addn Iteration _Repair Fixtures List of Fixtures Fixtures List of Fixtures Fixtures List of Fixtures Fixtures List of Fixtures A/C—Air Handling Units Heat Pump Toilet Backflow Preventer(Inside Bldg) Forced Air Systems Unit Heater Bathtub Urinal Gas Pipinq Boiler Lavatory(Wash Basin) Drinking Fountain Water Heater Refrigeration Shower Floor Drain Gas Fireplace Wood Stove Kitchen Sink&Disposal Grease Trap Gas Rance 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/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 by the owner of this property to perform the work for which application is made, and I comply with the State Contractors Law 18.27 RCW and 296.200A WAC. City of Everett Official Use Only ^ -..:-:��.�.,. Ill DeAnna Eaglep� 08/26/16 LP I Owner/Authorized Agent Signature Date (Revised 10/12/2015)