2730 PANAVIEW BLVD 2019-04-29 - 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 1 FAX 425-257-8857 1(E)everetteps@everettwa.gov I www.everettwa.gov/permits t`�'lII�IFO PROJECT SITE ADDRESS:2730 Panaview Blvd PROPERTY TAX#:00603700004800 LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) OWNER NAME: Robert Sampson TENANT NAME(If Commercial): OWNER MAILING ADDRESS: sTREET2730 Panaview Blvd CITY Everett STATE WA zip 98203 OWNER PHONE:(425)387-2010 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):WASH I ES8S 1 NS CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 54773 PRIMARY CONTACT: 0 OWNER ECONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:206-378-6648 Griffin Price CONTACT EMAIL:deagle@washingtonenergy.com CE c Y2 .c e �� /O.�i a6 fP✓.siy�A`rrf �'� :AVOW i N., Existing Use of Building: Contract Price of Work:$1500 Proposed Use of Building: Heat Source: ❑Gas ❑Electric ❑Other Building Type: ✓❑SFR-Detached ❑SFR-Attached Duplex DMulti-Family-#of Units: ❑Commercial ❑Industrial Type of Project: ❑New ❑Addition ❑Remodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: Replacing gas to gas water heater. ASSOCIATED BUILDING PERMIT#(if applicable): MEC A1FItCAL ..� ..,, . 4:; Type of Project: _New Addn Q Alteration _Repair Type of Project: _New _Addn U 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 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 Ranee —Ductin. —Dishwasher —Roof Drains Clothes D er Hooku.s —Other: —Clothes Washer —Medical Gas Ranee 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.lam 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#t� 0 p{ p� Griffin Price ;m~~;°,~----""""°'""°-`"`"m5/3/17 '"e ' OO p Owner/Authorized Agent Signature Date (Revised 10/12/2015)