1108 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 I FAX 425-257-8857 I(E)everetteps@everettwa.gov I www.everettwa.gov/permits PROJECT SITE ADDRESS:1 108 Rucker Ave PROPERTY TAX#: 00468622302100 LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) OWNER NAME: Katherine Benusa TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET 1108 Rucker Ave CITY Everett STATE WA ZIP 98201 OWNER PHONE:425-754-4380 OWNER EMAIL: CONTRACTOR NAME:WASHINGTON ENERGY SERVICES CONTRACTOR ADDRESS: STREET 3909 196TH ST SW CITY LYNNWOOD STATE WA ZIP 9;;r• CONTRACTOR PHONE:206-378-6644 CONTRACTOR EMAIL:vstephenson p@washington' -gy.corn CONTRACTOR LICENSE#(REQUIRED):WASHI ES851 NS CITY OF EVERETT BUSINESS LICENSE#(REQUIR,D): 54773 PRIMARY CONTACT: 0 OWNER ECONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:206-378-6644 Vanessa Stephenson CONTACT EMAIL:vstephenson 'fa •.ngtonenergy.co �. ,a.m .. .. ,u � ,:.;,,,iil.F ma a:t m@. ai~4 .- .. 7... r„y,'...:. Existing Use of Building: Contract Price of • :$1500 Proposed Use of Building: Heat Source: 0Ga5 ❑Electri. ❑Other Building Type: ❑SFR-Detached ❑SFR-Attached Duplex ❑Multi-Family-#of Units: ❑Commercial ❑Industrial Type of Project: ❑New ❑Addition ❑Remodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler •r-molition ❑Change of Use DESCRIPTION OF WORK: Replacing gas water heater. ASSOCIATED BUILDING PERMIT#(if applicable): 11 N1 i P-P I A "M"II, gllkMN5 r1.,,MBI :AOOOAE Type of Project: _New _ Addn El 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 Bid.) 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 Tra• Gas Ran.e —Ductin• —Dishwasher —Roof Drains Clothes D er Hooku•s _Other: —Clothes Washer S Medical Gas Ran•eHoodWater Heater Other: Exhaust Fan —Sink Service/Bar/Mo./etc. —Other: 0 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. 1 City of Everett Official Use Only Vanessa Stephenson "”" `" 06/19/17 P� ` lO j S l Owner/Authorized Agent Signature Date (Revised 10/12/2015)