Laserfiche WebLink
PERMIT APPLICATIOI`' <br /> BUILDING I MECHANICAL/ PLUMBING /SIGN AI RINKLER/ DEMOLITION <br /> _ CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> (P)425-257-8810 I FAX 425-257-8857 I(E)everetteps@everettwa.gov I www.everettwa.gov/permits <br /> PROJECT SITE ADDRESS: PROPERTY TAX#: <br /> 3331 Wetmore Ave 00436979201500 <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> YM..`• Timm <br /> vim <br /> OWNER NAME: Steven mcCormick TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: STREET3331 Wetmore Ave <br /> CITY Everett STATE WA ZIP 98201 <br /> OWNER PHONE:2064060771 OWNER EMAIL: <br /> CONTRACTOR NAME:WASHINGTON ENERGY SERVICES <br /> CONTRACTOR ADDRESS: STREET 3909 196TH ST SW <br /> cm, LYNNWOOD STATE WA ZIP 98036 <br /> CONTRACTOR PHONE:206-378-6644 CONTRACTOR EMAIL:vStephenSOn@WashingtOnenegy.Com <br /> CONTRACTOR LICENSE#(REQUIRED):WASH I ES851NS CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 54773 <br /> PRIMARY CONTACT:0 OWNER ECONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE:206-378-6644 <br /> Vanessa Stephenson CONTACT EMAIL:vstephenson@washingtonenergy.com <br /> Existing Use of Building: Contract Price of Work:$5000 <br /> Proposed Use of Building: ,Heat Source: ❑Gas ❑Electric ❑Other <br /> Building Type: ✓❑SFR-Detached ❑SFR-Attached DDuplex ❑Multi-Family-#of Units: ❑Commercial ❑Industrial <br /> Type of Project: ONew ❑Addition ❑Remodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use <br /> DESCRIPTION OF WORK: <br /> Installing gas fireplace and running gas piping <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> a 1 2 <br /> Type of Project: _New _ Addn MI Alteration _Repair Type of Project: _New _Addn •'Iteration _Repair <br /> #of #of #of #of <br /> Fixtures List of Fixtures Fixtures List of Fixtures Fixtures List of Fixtures Fixtures List of Fixtures <br /> A/C—Air Handling Units Heat Pump Toilet Backflow Preventer(Inside Bldg) <br /> Forced Air S stems Unit Heater Bathtub Urinal <br /> 1 Gas Pi•in• Boiler Lavatory(Wash Basin) Drinking Fountain <br /> Water Heater Refri•eration Shower Floor Drain <br /> Gas Fire.lace Wood Stove Kitchen Sink&Disposal Grease Trap <br /> Gas Ran•e Ductin• Dishwasher Roof Drains <br /> Clothes D er Hooku•s Other: Clothes Washer Medical Gas <br /> Ran•e Hood Water Heater Other: <br /> Exhaust Fan Sink(Service/Bar/Mop/etc.) Other: <br /> SPRII$KL ER 1. ,UPPRl;,. . N,SY$T qk <br /> Number of Heads <br /> 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 <br /> 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 <br /> Building Official before being authorized under any circumstance.lam the owner,or 1 am authorized by the owner of this property to perform the work for which application is made, <br /> and I comply with the State Contractors Law 18.27 RCW and 296.200A WAC. <br /> City of Everett Official Use Only <br /> PERMIT <br /> Nikki Hyett-Schnell Ohre9 �Y�m 04/09/18 <br /> a'-k(eson:I am tha eumor m mts dowment <br /> r�r <br /> Owner/Authorized Agent Signature Date (Revised 10/12/2015) <br />