3415 TULALIP AVE 2019-04-17 - Laserfiche WebLink

PERMIT APPLICATIO BUILDING / MECHANICAL/ PLUMBING I SIGN INKLER/ 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 -:-AWA,;‘; :3 Fwd 4 ,,�, PROJECT SITE ADDRESS.3415 Tulalip Ave#10 PROPERTY TAX#: 00437783000600 LEGAL for new construction: Short Plat/subdivision__ _ Lot No. (attach copy of long legal description) OWNER NAME: Richard Haigh TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET 3415 Tulalip Ave#10 c,r, Everett STATE WA ZIP 98201 OWNER PHONE:425-870-9520 OWNER EMAIL: CONTRACTOR NAME:WASHINGTON ENERGY SERVICES CONTRACTOR ADDRESS: STREET 3909 196TH ST SW ciT' LYNNWOOD STATE WA ZIP 98036 CONTRACTOR PHONE:206-378-6648 CONTRACTOR EMAIL:vstephenson p washingtonenegy.conn 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 Vanessa Stephenson CONTACT EMAIL:vstephenson@washingtonenergy.com to ��''� �,cy r t b ra ' �, i 9 �■y r �'�' �� �a x..a��,n...,a.� ..,,,.ap.�S ,.r..,, � //�f .,., =:�. � n/a/..n , ��f��1� ��„ ��I�'.SA,` `,. Existing Use of Building: Contract Price of Work:$ e�j u® Proposed Use of Building: Heat Source: ❑Gas ❑Electric ❑Other Building Type: ❑SFR-Detached ❑SFR-Attached Ebuplex ❑Multi-Family-#of Units: ['Commercial ❑Industrial Type of Project: ❑New ❑Addition ❑Remodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: �� ®� i l rI /�/� Q p I" & V V ✓' .�`a'��4--(11g) ASSOCIATED BUILDING PERMIT#(if applicable): �� ; o'o PERMlTL &a o<�'„ , , .-:41'4 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 #°f List of Fixtures Fixtures Fixtures Fixtures Fixtures NC—Air Handling Units —Heat Pump Toilet Backflow Preventer(Inside Bldg) Forced Air S stems —Unit Heater Bathtub Urinal Gas Pipin• —Boiler Lavatory(Wash Basin) Drinking Fountain 1 Water Heater Refri•eration Shower Floor Drain Gas Fire•lace —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/Mop/etc.) Other: $, !R r !tet 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 PERMIT# I• Vanessa Stephenson °ee20]n "3°"" 00r°" 10/11/17 � g Owner/Authorized Agent Signature Date (Revised 10/12/2015)