1921 HIGHLAND AVE 2018-01-04 - 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 � FAX 425-257-8857 � (E)everetteps@everettwa.gov� www.everettwa.gov/permits RROJEGT SITE'INFORMATION PROJECT SITE ADDRESS:1921 Highland Ave PROPERTY TAX#:00563239800500 LEGAL for new construction: Short PlaUsubdivision Lot No (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: Vaf1C2 �aCObS01l TENANT NAME(If Commercial): OWNER MAILING ADDRESS: sTREET 1921 Hlghl2fld AV2 �„-Y Everett STATE WA Z�P 98201 OWNER PHONE:425-870-2566 OWNER EMAIL: CONTRACTOR NAME:WASHINGTON ENERGY SERVICES coNTwacTOR AD�RESS: sTREET 3909 196TH ST SW cin LYNNWOOD sTnrE WA ziP 98036 CONTRACTOR PHONE:206-378-6648 CONTRACTOR EMAIL:deagle@washingtonenegy.com � CONTRACTOR LICENSE#(REQUIRED):WASHIES851 NS CITY OF EVERETT BUSINESS LICENSE#(REQUIRE �: 54773 PRIMARY CONTACT: ❑OWNER �CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:206-378-6648 DeAn na Eag le CON7ACT EMAIL:deagle@was � gton nergy.com � ` BUILDING�.PERM1'1'APFLICATION �� Existin Use of Buildin : Contract Price of Work:$ 1200 <� Proposed Use of Buildin : Heat Source: ❑Gas ❑ ctric ❑Other Buildin T pe: ❑SFR-Detached ❑✓ SFR-Attached �uplex OMulti-Famil -#of Units: ❑Commercial ❑Industrial T e of Pro�ect: ❑New ❑Addition ❑Remodel ❑Re air ❑T.I. ❑Si n ❑S rinkler ❑Demolition ❑Chan e of Use DESCRIPTION OF WORK: Replacing gas water heater like in kind ASSOCIATED BUILDING PERMIT#(if a licable : MECHANICAL PERMIT APRLICATION RLUMBING PERMIT APPLICATI�N 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 A/C—Air Handling Units Heat Pump Toilet Backflow Preventer(Inside Bld ) Forced Air S stems Unit Heater Bathtub Urinal Gas Pipin Boiler Lavato (Wash Basin) Drinkin Fountain � Water Heater Refri eration Shower Floor Drain Gas Fireplace Wood Stove Kitchen Sink 8�Disposal Grease Tra Gas Ran e Ductin Dishwasher Roof Drains Clothes D er Hooku s Other: Clothes Washer Medical Gas Ran e Hood Water Heater Other: Exhaust Fan Sink Service/Bar/Mo /etc. Other: SPRINKLER/SUPPR�SSION 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 6e authorized in writing from the Building Official before being authorized under any circumstance.!am the owner,or I am authorized by the owner of this property to perform the work for which application is made, and 1 comply with the State Contractors Law 18.27 RCW and 296.200A WAC. City of Everett Official Use On/y PERMIT# Ethan Onat •RVYe---•-��a.�•---��«�•�= 12/15116 Owner/Authorized Agent Signature A Date (Revised 10/12/2015)