1919 112TH ST SW 2019-08-20 - Laserfiche WebLink

4-77- 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 INFORMATION PROJECT SITE ADDRESS:1902 112th st SW PROPERTY TAX#:00537900004301 LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: Ana Serra TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET1902 112th St SW CITY Everett STATE WA` ZIP 98204 OWNER PHONE:4253093054 OWNER EMAIL: CONTRACTOR NAME:WASHINGTON ENERGY SERVICES CONTRACTOR ADDRESS: STREET 3909 196TH ST SW cm, LYNNWOOD STATE WA ZIP 98036 CONTRACTOR PHONE:206-378-6648 CONTRACTOR EMAIL:VStephenSOn@WaShingtonenegy.00 \ CONTRACTOR LICENSE#(REQUIRED):WASHIES851 NS CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 54773 PRIMARY CONTACT: ❑ OWNER / CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:206-378-6648 Vanessa Stephenson CONTACT EMAIL:vstephenson@washingtonenergy.com BUILDING PERMIT APPLICATION Existing Use of Building: Contract Price of Work: $5000 Proposed Use of Building: Heat Source: ❑Gas ❑Electric ❑Other Building Type: OSFR-Detached ❑SFR-Attached ❑Duplex EMulti-Family-#of Units: DCommercial ❑Industrial Type of Project: ❑New ❑Addition ❑Remodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler 'Di5emolition EChange of Use DESCRIPTION OF WORK: Installing tankless water heater and running gas piping to tankless water heater and stove. ASSOCIATED BUILDING PERMIT#(if applicable): MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION Type of Project: _New Addn Alteration _Repair Type of Project: _New _Addn nAlteration _Repair #of List of Fixtures #of List of Fixtures #of List of Fixtures #of List of Fixtures Fixtures Fixtures Fixtures Fixtures NC—Air Handling Units Heat Pump Toilet Backflow Preventer(Inside Bldg) Forced Air Systems Unit Heater Bathtub Urinal 2 Gas Piping Boiler 'Lavatory(Wash Basin) Drinking Fountain 1 Water Heater Refrigeration Shower Floor Drain Gas Fireplace Wood Stove _Kitchen Sink&Disposal Grease Trap Gas Range Ducting Dishwasher Roof Drains Clothes Dryer Hookups Other: _Clothes Washer Medical Gas Range Hood Water Heater Other: Exhaust Fan Sink(Service/Bar/Mop/etc.) Other: SPRINKLER/SUPPRESSION SYSTEM 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. City of Everett Official Use Only 029NiPERM kki Hyett-Schnell a7'emheLeam 04/10/18 tea,en Owner/Authorized Agent Signature Date (Revised 10/12/2015)