2001 RUCKER AVE 2018-02-23 - Laserfiche WebLink

PERMIT APPLICAL 477 BUILuiNG / MECHANICAL / PLUMBING /Sk i f SPRINKLER/ DEMOLITION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT,WA 98201 (P)425-257-8810 FAX 425-257-8857 I(E)everetteps@everettwa.gov www.everettwa.gov/permits PROJECT SI FORMA`ioN PROJECT SITE ADDRESS:2001 Rucker Ave PROPERTY TAX#:00437042600102 LEGAL for new construction Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: Dixie Blair TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET2001 Rucker Ave c,Tv Everett STATE WA ZIP 98201 OWNER PHONE:425-252-3365 OWNER EMAIL: CONTRACTOR NAME:WASHINGTON ENERGY SERVICES CONTRACTOR ADDRESS: STREET 3909 196TH ST SW CITY LYNNWOOD STATE WA ZIP 98036 CONTRACTOR PHONE:206-378-6648 JCONTRACTOR EMAIL:vstephenson@Washingtonenegy,COm CONTRACTOR LICENSE#(REQUIRED):WASHIES851 NS CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 54773 PRIMARY CONTACT: ❑OWNER CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:206-378-6648 Vanessa Stephenson JCONTACT EMAIL:vstephenson@washingtonenergy.corn BUILDING PERMIT APPLICATION Existing Use of Building: Contract Price of Work:$5,000 Proposed Use of Building: Heat Source: ❑Gas ❑Electric ❑Other Building Type: ❑SFR-Detached ESFR-Attached buplex EMulti-Family-#of Units: ['Commercial Olndustrial Type of Project: ❑New ❑Addition ❑Remodel ❑Repair ❑T.l. ❑Si•n ❑S•rinkler ODemolition ❑Chan•e of Use DESCRIPTION OF WORK: Installing a gas fireplace. ASSOCIATED BUILDING PERMIT#(if applicable): MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION Type of Project: _New _ Addn Alteration _Repair Type of Project: New _Addn EAlteration _Repair #of List of Fixtures #of List of Fixtures #of List of Fixtures #of List of Fixtures Fixtures Fixtures _ Fixtures Fixtures NC–Air Handling 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 1 Gas Fireplace Wood Stove Kitchen Sink&Disposal Grease Trap Gas Range Ducting 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/SUPPRESSION 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 from 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 Vanessa Stephenson ')F1,0(6 oa+°.201)08 04,r.o+x-MO 08/04/17 Owner/Authorized Agent Signature Date (Revised 10/12/2015)