1419 ROCKEFELLER AVE 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 I FAX 425-257-8857 I(E)everetteps©everettwa.gov I www.everettwa.gov/permits - u PROJECT SITE ADDRESS: PROPERTY Rockefeller Ave PROPERTY TAX#: 00475429000800 LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) OWNER NAME: Narolvis Smith TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET1419 Rockefeller Ave C,T,r Everett STATE WA ZIP 98201 OWNER PHONE 425-258 1486 OWNER EMAIL CONTRACTOR NAME:WASHINGTON ENERGY SERVICES CONTRACTOR ADDRESS: STREET 3909 196TH ST SW CITY LYNNWOOD STATE WA ZIP 98036 CONTRACTOR PHONE:206-378-6644 CONTRACTOR EMAIL:vStephensOn C!WaShingtonenegy.com CONTRACTOR LICENSE#(REQUIRED):WASH IES851 NS CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 54773 PRIMARY CONTACT: 0 OWNER ECONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:206-378-6644 Vanessa Stephenson Ienson CONTACT EMAIL:vstephenson@washingtonenergy.com Existing Use of Building: Contract Price of Work:$1200 Proposed Use of Building: Heat Source: ❑Gas ❑Electric ❑Other Building Type: ❑SFR-Detached ❑SFR-Attached muplex ❑Multi-Family-#of Units: ❑Commercial ❑Industrial Type of Project: ❑New ❑Addition ❑Remodel ❑Repair DTI. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: Replacing gas water heater. ASSOCIATED BUILDING PERMIT#(if applicable): M PLUM ' 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 Handlin• Units Heat Pump Toilet B- fl• P -v- t- (I •- BI..' Forced Air S stems Unit Heater —Bathtub _Urinal Gas Pi•in. Boiler Lavato Wash Basin) —Drinkin• Fountain Water Heater —Refri•eration —Shower —Floor Drain Gas Fire.lace —Wood Stove —Kitchen Sink&Dis•osal —Grease Tra• 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/Mos/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.l 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 Vanessa Stephenson 06/09/17 PEI YYY Owner/Authorized Agent Signature Date (Revised 10/12/2015)