7502 BEVERLY LN 2018-04-19 - Laserfiche WebLink

PERMIT APPLICATION BUILDING =CHANICAL / PLUMBING / SIGN /�INKLER/ DEMOLITION CITY OF EVERETT PERMIT SERVICE 3200 CEDAR STREET, EVERETT,WA 982U1 (P)425-257-8810 � FAX 425-257-3857 I (E)everetteps@everettwa.gov� www.everettwa.gov/permits PROJEC7' S[TE 1N�ORMATION . PROJECT SITE ADDRESS:75�2 geVef�y Ln PROPERTY TAX#:00392��0�404 LEGAL for new construction: Short PlaUsubdivision Lot No. (attach copy of long legal description) CQNT/�1CT INFQRMATION OWNER NAME: Nllall DUOCIq TENANT NAME(If Commercial): OWNER MAILING ADDRESS: sTReer7502 Beverly Ln �,n Everett STATE WA Z�P 98203 OWNER PHONE:425-76�-HH�S OWNER EMAIL: CONTRACTOR NAME:WASHINGTON ENERGY SERVICES CONTRACTOR ADDRESS: sTReeT 3909 196TH ST SW �,TY LYNNWOOD STATE WA Z,P 98036 CONTRACTOR PHONE:206-378-6648 CONTRACTOR EMAIL:d28g12@WBShlllgtOflell@gy.00171 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 BUILDING PERMIT APPLICATIdN Existing Use of Building: 111 Sin le Famil Residence- Detached Contract Price of Work: $10,677 Proposed Use of Building: Heat Source: ❑Gas ❑Electric ❑Other Buildin T pe: ✓❑SFR-Detached ❑SFR-Attached �uplex ❑Multi-Famil -#of Units: ❑Commercial ❑Industrial T pe of Proect: ❑New ❑Addition ❑Remodel ❑Repair ❑T.I. ❑Si n ❑Sprinkler ❑Demolition ❑Chan e of Use DESCRIPTION OF WORK: Installing boiler with backflow preventer and running gas piping ASSOCIATED BUILDING PERMIT# if a licable : MECHANICAL PERMIT APPLICATION PLUMBING PERMIT 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 Fixtures Fixtures Fixtures Fixtures Fixt es 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 Ducting Dishwasher Roof Drains Clothes Dr er Hookups Other: Clothes Washer Medical Gas Ran e 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 thrs 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!am authorized by the owner of this property to perform the work for which application is made, and 1 compty with the State Contractors Law 18.27 RCW and 296.200A WAC. City of Everett Official Use Only PER IT�t DeAnna Eagle � - - - o5iosii� � l � — �3 Owner/Authorized Agent Signature Date (Revised 1 /12/2015) �