1234 W MUKILTEO BLVD 2018-01-04 - Laserfiche WebLink

• PERMIT APPLICATION� BUILDING / MECHANICAL / PLUMBING /SIGN I 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 PROJECT SITE IN�#�RMATI�N ' PROJECT SITE ADDRESS: 1234 W MUkllte0 BIVd PROPERTY TAx#:00505700000200 LEGAL for new construction: Short PlaUsubdivision Lot No. (attach copy of long legai description) CONTACT INFORMATION OWNER NAME: EIIZabetll CBICIW@II TENANT NAME(If Commercial): OWNER MAILING ADDRESS: sTReer 1234 W Mukilteo Blvd CIN Everett STATE •�^ ZIP 98203 OWNER PHONE:425-923-7802 OWNER EMAIL: CONTR,4CTOR N,4nnE:�NASHINGTON ENERGY SERVICES cONrwacTOR aDDREss: sTREET 3909 196TH ST SW �,n LYNNWOOD STATE WA Z,P 98036 CONTRACTOR PHONE: 206-378-6648 CONTRACTOR EMAIL:deagle@washingtonenegy.com CONTRACTOR LICENSE#(REQUIRED):WASHIES851 NS CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 54773 . ,,..: . PRIMARY CONTACT: ❑OWNER �CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:206-378-6648 DeAnna Eagle CONTACTEMAIL:deagle@washingtonenergy.com BUILDiN6'P�RMlT APiiLICATIQM Existin Use of Buildin : Contract Price of Work:$�soo Proposed Use of Buildin : Heat Source: ❑Gas ❑Electric ❑Other Buildin T pe: ❑SFR-Detached ❑SFR-Attached ❑�u lex 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 ASSOCIATED BUILDING PERMIT# if a licable : �� MECMAI�IICAL P�1'�MIT AP►RLICATION `�� RLUMBING PERMIT APP�ICATION��'�� 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&Disposal Grease Trap 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 1 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 be authorized in writing irom the Building Official before being authorized under any circumstance.I am the owner,or 1 am authorized by the owner of this property to perform the work for which application is made, and I comp/y with the State Contractors Law 18.27 RCW and 296.200A WAC. City of Everett Official Use Only PERMITn� ,� �� ^ ' �� Ethan Onat %�•_4M-�.—a ��--�n��• 12/09/16 �� \ ` Owner/Authorized Agent Signature � Date (Revised 10/12/2015)