1121 HOYT AVE 2018-05-21 - 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� �wwv.everettwa.gov/permits �ROJEGT SIT'E�INFOttMAT1i3N � PROJECT SITE ADDRESS:� �2� �..,�Oyt AVe PROPERTY TAX#:00468622��4�� LEGAL for new construction: Short PlaUsubdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: Mal�lll LaCilb2f� TENANT NAME(If Commercial): OWNER MAILING ADDRESS: srReer1121 Hoyt Ave �,n Everett STATE WA Z,P 98201 owNER PHONE:(425)309-4235 OWNER EMAIL: COrv7w4CTOR Nanne:WASHINGTON ENERGY SERVICES CONTRACTOR ADDRESS: srReeT 3909 196TH ST SW �,n LYNNWOOD STATE WA Z,P 98036 CONTRACTOR PHONE:206-378-6648 CONTRACTOR EMAIL:deagle@washingtonenegy.com 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 P�RMlT APPLICATION Existin Use of Buildin : Contract Price of Work:$1500 Proposed Use of Buildin : Heat Source: ❑Gas ❑Electric ❑Other Buildin T pe: ✓�SFR-Detached ❑SFR-Attached muplex �Multi-Famil -#of Units: ❑Commercial ❑Industrial T e of Proect: ❑New ❑Addition ❑Remodel ❑Re air ❑T.I. ❑Si n S rinkler ❑Demolition ❑Chan e of Use DESCRIPTION OF WORK: Replacing gas water heater. ASSOCIATED BUILDING PERMIT#(if a licable): MECHANICAL PERMIT APPLICATION RLUMB[NG PERMIT APPLICATIQN Type of Project: _New _ Addn � Alteration _Repair Type of Project: New Addn Iteration _Repair #of List of Fixtures #of List of Fixtures #of List of Fixtures #of List of Fixtures Fixtures Fixtures Fixtures Fixtures A/C—Air Handling Units Heat Pump Toilet Backflow Preventer(Inside Bld ) Forced Air S stems Unit Heater Bathtub Urinal Gas Piping Boiler Lavatory(Wash Basin) Drinkin Fountain i Water Heater Refri eration Shower Floor Drain Gas Fireplace Wood Stove Kitchen Sink&Disposal Grease Trap Gas Ran e Ductin Dishwasher Roof Drains Clothes D er Hooku s Other: Clothes Washer Medical Gas Ran e Hood Water Heater Other: Exhaust Fan Sink Service/Bar/Mo /etc.) Other: SPRINKLER/SUPPRE$SION SYSTEM Number of Heads ACKNOWLEDGEMENT:I have reviewed fhis application and confirm the information contained herein is true and correct. Work done pursuant to this permit must comp/y 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# G Griffin Price �;;, : _�� .. si�si�� J "'lJ � Owner/Authorized Agent Signature Date (Revised 10/12/2015)