3006 EVERETT AVE 2017-10-18 - Laserfiche WebLink

PERMIT APPLICATION BUILDINGOIECHANICAL / PLUMBING 1 SIGN 1WRINKLER/ DEMOLITION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT,WA 98201 (P)425-257-8810 I FAX 425-257-8857 1(E)everetteps@everettwa.gov 1 www.everettwa.gov/permits PROJECT SITE INFORMATION PROJECT SITE ADDRESS:3006 Everett Ave PROPERTY TAX#:00593663800800 LEGAL for new construction: Short Platisubdivisian Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: Michaela Jensen TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET 3006 Everett Ave CITY Everett STATE WA z,P 98201 OWNER PHONE:206-250-8549 OWNER EMAIL:mtafflin@uw.edu CONTRACTOR NAME:WASHINGTON ENERGY SERVICES CONTRACTOR ADDRESS: STREET 3909 196TH ST SW CITY LYNNWOOD STATE WA z,P 98036 CONTRACTOR PHONE:206-378-6927 CONTRACTOR EMAIL:eonat@washingtonenegy.com CONTRACTOR LICENSE#(REQUIRE0)t WASHIES851 NS CITY OF EVERETT BUSINESS LICENSE#(REQUIRED); 54773 PRIMARY CONTACT: ❑ OWNER IZICONTRACTOR ❑ OTHER(Please Specify)— CONTACT NAME: CONTACT PHONE:206-378-6927 Ethan O n at ICONTACT EMAIL:eonat@washingtonenergy.com SLIM DING PERMIT,APPI,ICATION Existing Use of Building: Contract Price of Work: $ta33..o Proposed Use of Building- Heat Source: []Gas ❑Electric ❑Other Building Type: ❑SFR-Detached ❑SFR-Attached ❑Du lex ❑Multi-Family-#of Units: ❑Commercial ❑Industrial Type of Project El New-. ❑Addition ❑Remodel ❑Repair ❑T.I. ❑Sin ❑S rinkler ❑Demolition ❑Chane 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 #of List of Fixtures '#of List of Fixtures #of List of Fixtures # r List of Fixtures Fixtures Fixtures Fixtures Fixtures A/C–Air Handlin2 Units Heat Pump Toilet Backflow Preventer(Inside Bldg) Forced Air Systems Unit Heater Bathtub Urinal Gas Piping Boiler Lavatory(Wash Basin) Drinking Fountain Water Heater Refrigeration Shower Floor Drain Gas Fireplace Wood Stove Kitchen Sink& Disposal Grease Trap Gas Range Ductinq 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 ACKNOWLFDGEMEN"T f have reweweci this application and confirm the inforrna&on contained herein istrue and correct Work ,'one porsi,ani to this per is must comply with cu renl federal. state, and local iaw The granting of a permit only aut,-'orizes approved work and no dLiv!airor,;;therehoni. Dewatir,ns must fir t bo ac tho z,d in writing from the r iiiidtog Otficiat bcfo%e being authcrrzed unaer an;; ircumstar?re i grn,the owner, or t airr authonzed Ly the owner of this property to perform the work forwhich 3rpGcaf;on is rnade, argf,r o.,:piy s.,,, [be.`?aie tst '8,.^r'R;;44r and 296 lR(?r.Wit; 'City of Everett Official Use OivY PERMIT# n n r1 06 110/16 MJ Y 1UA Q Owner/AuthorizedAgen Sig ature f:)atc: it�evi E 11^/1Ir2lJ7'il