2018 ROCKEFELLER AVE 2018-01-04 - Laserfiche WebLink

� PERMIT APPLICATION� BUILDING / MECHANICAL/ PLUMBING / SIGN /SPRINKLER I 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 PRQJECT SITE INFORNIATIE�N - PROJECT SITE ADDRESS:2�1 S ROCk2f2II8f AV2 PROPERTY TAX#:��437042302400 LEGAL for new construction: Short PlaUsubdivision Lot No. (attach copy of long legal description) CONTACT INFORMATlON OWNER NAME: E1711I�/ WeIIS TENANT NAME(If Commercial): OWNER MAILING ADDRESS: srREeT2018 ROCk@f2112f �„-Y Everett STATE WA Z�P 98201 owNER PHONE:435-279-0419 OWNER EMAIL: CONrw4CTOR NannE;WASHINGTON ENERGY SERVICES CONTRACTOR ADDRESS: sTReer 3909 196TH ST SW �in. LYNNWOOD STATE WA ziP 98036 CONTRACTOR PHONE:206-378-6648 CONTRACTOR EMAIL:deegl@ p�WBShIfl9tOf12f1egy.COfT1 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 BUtLDIN6-RER�f[IT APPL1CATlON Existin Use of Buildin : Contract Price of Work: $�500 Proposed Use of Buildin : Heat Source: ❑Gas ❑Electric ❑Other Buildin T e: �SFR-Detached ❑SFR-Attached �uplex ❑Multi-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 : MECHANICAL RERMIT APRLICATION PLUMBING PERMtT 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 Fixiures Fixtures Fixfures Fixtures Fi�ures A/C—Air Handling Units Heat Pump Toilet Backflow Preventer(Inside Bld ) Forced Air Systems 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: $PRINKLER/SUPPRE$SION SYSTEM ' Number of Heads ACKNOWLEDGEMENT:I have�eviewed this application and confirm the info�mation contained herein is true and correct. Work done pursuant to this permit must comply with current federal,state,and local law. The grenting 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 I am authorized by the owner of this property to perform the work for which application is made, and/comply with the State Contractors Law 18.27 RCW and 296.200A WAC. City of Everett O(ficral Use Only PER T I f �� In Ethan Onat .m��_�—°--�a..^°--.�•°��-°= 12/13/16 W Owner/Authorized Agent Signature A Date (Revis d 10/12/2015)