2115 COLBY AVE 2018-01-08 - 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 PR4,J��T�1'�`��NF�ttttMATlt31�i , PROJECT SITE ADDRESS:2115 Colby Ave PROPERTY TAX#:00439143500700 LEGAL for new construction: Short PlaUsubdivision Lot No. (attach copy of long legal description) GE3N'T'�IC"�' INFORMA7[+t�N' OWNER NAME: AUStlfl KOVBCII TENANT NAME(If Commercial): OWNER MAILING ADDRESS: sTReer2115 Colby Ave �,n Everett STATE WA Z�P 98201 OWNER PHONE:2066172899 OWNER EMAIL: CONT�aCTOR N,4nne:WASHINGTON ENERGY SERVICES CONTRncroR a��ReSs: sTREET 3909 196TH ST SW cin LYNNWOOD STATE WA ziP 98036 CONTRACTOR PHONE:2OF)-37$-6644 CONTRACTOR EMAIL:VSt@pIl@I1SOCl�p WaSI1lllgtOtl@C12gy.COC11 CONTRACTOR LICENSE#(REQUIRED):WASHIES851 NS CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): �J4773 ,, ,. .�... ,.. PRIMARY CONTACT: ❑OWNER �CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:2Q6-37$-6644 Vanessa Stephenson CONTACT EMAIL:vstephenson@washingtonenergy.com $u��.arN�P�i��p�►u�nT�c�� Existin Use of Buildin : Contract Price of Work:$�aoo Proposed Use of Buildin : Heat Source: ❑Gas ❑Electric ❑Other Buildin T e: ❑SFR-Detached ❑SFR-Attached mu lex ❑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 like for like ASSOCIATED BUILDING PERMIT# if a licable : M�CHANICAL pERMIT APPL�CATiQN ` pLUMBtNG..PERMIT�lPPL1CAT10N 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 Fixfures #of Lisf of Fixtures Fixtures Fixtures Fixfures 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 i 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: SPRINKl��R/SUPi�RESS�+ON '��'1f""�C"M"�M 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 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 PERMIT Ethan Onat Dlpitally¢ipriedEyE[�anOnat � n,� � �� �oa«�.zoi zi i.aa a�.sroo oe•oo� 11/24/2017 � Owner/Authorized Agent Signature Date (Revised 10/12/2015)