1027 RUCKER AVE 2019-04-30 - 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 1 FAX 425-257-8857 1(E)everetteps@everettwa.gov I www.everettwa.gov/permits PROJECT SITE ADDRESS:1 O27 Rucker Ave PROPERTY TAX#:00468621500300 LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) OWNER NAME: Clark Graves TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET1 027 Rucker Ave olry Everett STATE WA zip 98201 OWNER PHONE:206-384-0639 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:vStephenSOn@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 Vanessa Stephenson CONTACT EMAIL:vstephenson@washingtonenergy.com Existing Use of Building: Contract Price of Work:$ Proposed Use of Building: Heat Source: ❑Gas ❑Electric ❑Other Building Type: ❑SFR-Detached ❑SFR-Attached Duplex ❑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): Type of Project: _New_ Addn '4 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 —Backflow Preventer(Inside Bld• Forced Air S stems —Unit Heater —Bathtub —Urinal Gas Pipin• —Boiler —Lavato (Wash Basin) Drinkin• Fountain 1 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 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.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#- i1 o' D2 pheneon�.v shinptoneneryy.mm I�I/�, bVh Vanessa Stephenson �m�•m�,•.��•��^h^�^�m 03/13/18 Owner/Authorized Agent Signature ^ Date (Revised 10/12/2015)