4910 SEA BREEZE WAY 2018-06-08 - Laserfiche WebLink

PERMIT APPLICATION BUILDING / MECHANICAL/ PLUMBING /SIGN /SPRINKLER/ DEMOLITION „di CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET,EVERETT,WA 98201 (P)425-257-8810 1 FAX 425-257-8857 1(E)everetteps@everettwa.gov I www.everettwa.gov/permits m,e PROJECT SITE ADDRESS:4910 Seabreeze Way PROPERTY TAX#:29043400405200 LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) OWNER NAME: Rory Bell TENANT NAME(If Commercial): OWNER MAILING ADDRESS: sTREET4910 Seabreeze Way c,Ty Everett STATE WA ZIP 98203 OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME:WASHINGTON ENERGY SERVICES CONTRACTOR ADDRESS: STREET 3909 196TH ST SW c, LYNNWOOD STATE WA ziP 98' •• CONTRACTOR PHONE:206-378-6644 CONTRACTOR EMAIL:vstephenson@Washingtone 1 '!y.com CONTRACTOR LICENSE#(REQUIRED):WASHIES851 NS CITY OF EVERETT BUSINESS LICENSE#(REQUI D 54773 j PRIMARY CONTACT: 0 OWNER nCONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:208-378-6644 Vanessa Stephenson CONTACT EMAIL:vstephensoni:) . hingtonenergy.com Existing Use of Building: Contract Price of W•I:$7,200 Proposed Use of Building: Heat Source: OGas ❑Elec.is ❑Other Building Type: ❑SFR-Detached I ISFR-Attached Ebuplex ❑Multi-Family-#of Units: ['Commercial ❑Industrial Type of Project: ❑New ❑Addition ❑Remodel ❑Repair DTI. ❑Sign ❑SprinklerITO molition ❑Change of Use DESCRIPTION OF WORK: Replacing gas furnace. ASSOCIATED BUILDING PERMIT#(if applicable): Vii' of Proje,t: _New _ Addn In Alteration _Repair Type of Project: _New _Addn U'Iteration _Repair IY #ores f . List of Fixtures #of List of Fixtures #of List of Fixtures #of List of Fixtures ►xtuFixtures Fixtures Fixtures iI—A/C—Air Hendiin. Units —Heat Pump —Toilet —Backflow Preventer(Inside Bid.) -d Air S stems —Unit Heater —Bathtub —Urinal RIME"- Pipin. —Boiler —Lavato (Wash Basin) —Drinkin. Fountain Refri.eration —Shower —Floor Drain mrE as Fireplace —Wood Stove —Kitchen Sink&Disposal —Grease Trap `�Gas Ran.e —Ductin• —Dishwasher —Roof Drains Clothes D er Hooku is —Other: —Clothes Washer —Medical Gas Ran•e Hood —Water Heater —Other: Exhaust Fan —Sink Service/Bar/Mo./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 Official Use Only ��° PERI�IjjTt � y� Vanessa Stephenson 'm�z�28,o-oo,ZZ-0Tar Aeon 09/26/17 ��1( � - U Owner/Authorized Agent Signature Date (Revised 10/12/2015)