1341 W MUKILTEO BLVD 2018-05-30 - 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 I FAX 425-257-8857 I(E)everetteps@everettwa.gov I www.everettwa.gov/permits 11177111• 111.11it 7:111111111Z- ffi .... PROJECT SITE ADDRESS:1341 W Mukilteo Blvd PROPERTY TAX#:00505700002301 LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) 5 .,,X131 OWNER NAME: Steve Tallman TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET 1341 W Mukilteo Blvd c,TY Everett STATE WA ZIP 98203 OWNER PHONE:206-390-4550 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 CONTRACTOR EMAIL:deagle@washingtonenegy.com CONTRACTOR LICENSE#(REQUIRED):WASHIES851 NS CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 54773 PRIMARY CONTACT: 0 OWNER ECONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:206-378-6648 DeAn n a Eagle CONTACT EMAIL:deagle@washingtonenergy.com Existing Use of Building: Contract Price of Work:$1500 Proposed Use of Building: Heat Source: ❑Gas CI Electric ❑Other Building Type: ❑SFR-Detached ❑SFR-Attached muplex ❑Multi-Family-#of Units: ['Commercial ❑Industrial Type of Project: ONew ❑Addition ❑Remodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: Replacing gas water heater ASSOCIATED BUILDING PERMIT#(if applicable): a « 1 Type of Project: _New_ Addn •Alteration _Repair Type of Project: _New _Addn I Iteration _Repair #of List of Fixtures #of List of Fixtures #of List of Fixtures #of List of Fixtures Fixtures Fixtures Fixtures Fixtures NC—Air Handlin• Units —Heat Pump —Toilet Backflow Preventer(Inside Bid• 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&Dis•osal ®Grease Tra• Gas Ranee —Ductin• —Dishwasher Roof Drains Clothes D er Hooku is —Other: S Clothes Washer —Medical Gas Ranee Hood —Water Heater —Other: Exhaust Fan —Sink Service/Bar/Moi/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.lam the owner,or lam 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 PERMV \tfl \ 2 O Ethan Onat '��;„"„; m� 12/09/16 '�” Owner/Authorized Agent Signature Date (Revised 10/12/2015)