3605 FRIDAY AVE 2018-05-16 - 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 � P�OJECT SITE 1NFORMATIt�N �� PROJECT SITE ADDRESS: " � � �-� PROPERTY TAX#: LEGAL for new construction: Short PlaUsubdivision Lot No. (attach copy of long legal description) CONTACT INFORMAT[ON OWNER NAME: CC'alCj B2C1t1111C� TENANT NAME(If Commercial): OWNER MAILING ADDRESS: sTREEr 3605 Ffid2y AV@ �„-Y Everett STATE WA Z�P 98201 oWNeR PHONE:425-257-1365 OWNER EMAIL: CONTr�acTOR Nanne:WASHINGTON ENERGY SERVICES CONTRACTOR ADDRESS: sTREer 3909 196TH ST SW �,n LYNNWOOD STATE WA Z�P 98 6 CONTRACTOR PHONE:206-378-6648 CONTRACTOR EMAIL:VSt2pI12nSOC1 p�W8SF11C1gtOCleC.i g�/.00171 '. CONTRACTOR LICENSE#(REQUIRED):WASHIES851 NS CITY OF EVERETT BUSINESS LICENSE#(REQUIRED�: 4773 PRIMARY CONTACT: ❑OWNER �CONTRACTOR ❑OTHER(Please Specify) i CONTACT NAME: CONTACT PHONE:206-378-6648 � Vanessa Stephenson CONTACT EMAIL:vstephenson@washingtonenergy.com � B�1ILDIN6�:P�Rli�l�'�APRLIGATIOy� � �'`�., �� Existin Use of Buildin : Contract Price of Worfi;$a5oo i Proposed Use of Buildin : Heat Source: ❑Gas i� ❑Electr ❑Other Buildin T pe: ✓OSFR-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 as fireplace. ASSOCIATED BUILDING PERMIT# if a licable : MECHANICAL PERMIT APPLICATfON PLUMBfNG 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 Fixiures #�f List of Fixtures Fixtures Fixtures Fi�rtures 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 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: SPRINKLER/SUPPRESSION $YSTEM 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 pertorm 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 PE�T�Iy'�# /� � ' 1 /' I Vanessa Ste hensOn °a��a�iys�c�eeyva�as.,s�ann��w� � � l ( �{- 1 � .�� 1 O P oace�.zon n w itoz ii ae�oa 11/30/17 � \. l Owner/Authorized Agent Signature Date (Revised 10/12/2015)