810 91ST PL SE 2018-04-05 - Laserfiche WebLink

PERMIT APPLICATION #11111Pb40.4441 BUILDING/ MECHANICAL/ PLUMBING/SIGN /SPRINKLER/ DEMOLITION CITY OF EVERETT PERMIT SERVICES a 3200 CEDAR STREET,EVERETT,WA 98201 (P)425-257-8810 1 FAX 425-257-8857 1(E)everetteps@everettwa.gov 1 www.everettwa.gov/permits >E INF,. > 1 . . A I M s. PROJECT SITE ADDRESS:810 91St PI SE PROPERTY TAX#:00605900002500 LEGAL for new construction: Short Plat/subdivision _ Lot No. (attach copy of long legal description) OWNER NAME: Dawn Sly TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET 810 91st PI SE CITY Everett STATE WA ZIP 98208 OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME:WASHINGTON ENERGY SERVICES CONTRACTOR ADDRESS: STREET 3909 196TH ST SW cm, LYNNWOOD STATE WA ZIP 98036 CONTRACTOR PHONE:206-378-6648 CONTRACTOR EMAIL:deagle@washingtonenegy.com CONTRACTOR LICENSE#(REQUIRED):WASH I ES851NS CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 4773 PRIMARY CONTACT: 0 OWNER ECONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:206-378-6648 DeAn na Eagle CONTACT EMAIL:deagle@washingtonenergy.com a 3 Existing Use of Building: Contract Price of Work:$9500 Proposed Use of Building: Heat Source: ❑Gas ❑E ctric ❑Other Building Type: ❑SFR-Detached ❑✓SFR-Attached lbuplex ❑Multi-Family-#of Units: OCommercial ❑Industrial Type of Project: ONew ❑Addition DRemodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: Installing a gas fireplace insert and a gas tankless water heater (replacing the gas tank water heater). Running gas piping. ASSOCIATED BUILDING PERMIT#(if applicable): cH*N i • . . . . N r, rA ,;. PL S P ***0101,, Type of Project: _New _ Addn •Alteration _Repair Type of Project: _New _Addn nAlteration _Repair #of List of Fixtures #of List of Fixtures #°f List of Fixtures #of List of Fixtures Fixtures Fixtures Fixtures Fixtures M�7 A/C—Air Handling Units —Heat Pump Toilet Backflow Preventer(Inside Bldg) '/-N Forced Air S stems _Unit Heater Bathtub Urinal Rom Gas Pipin• —Boiler Lavatory(Wash Basin) Drinking Fountain 1MM Water Heater Refri•eration Shower Floor Drain MEM Gas Fire.lace —Wood Stove Kitchen Sink&Disposal Grease Trap &WA Gas Ranee Ductin• Dishwasher Roof Drains l`t�Clothes D er Hooku.s —Other: Clothes Washer Medical Gas Ran•e Hood Water Heater Other: Exhaust Fan Sink(Service/Bar/Mop/etc.) Other: 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 O. fficial Use Only w 1` PERj1JIT, \ 2 002_ Ethan Onat � ,,,,,,,,,�„ _-�-�-�---a � ^ 02/01/17 Y V Owner/Authorized Agent Signature Date (Revised 10/12/2015)