1902 112TH ST SW 2019-08-20 - Laserfiche WebLink

41En. 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 1(E)everetteps@everettwa.gov 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: STREET 1902 112th St SW CITY Everett STATE WA ZAP 98204 OWNER PHONE:4253093054 OWNER EMAIL: CONTRACTOR NAME:WASHINGTON ENERGY SERVICES CONTRACTOR ADDRESS: STREET 3909 196TH ST SW cin 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: ❑ OWNER CONTRACTOR ❑ 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: ['SFR-Detached ❑SFR-Attached Duplex ❑Multi-Family-#of Units: Commercial ❑Industrial Type of Project: ❑New ❑Addition ❑Remodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition OChange 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 I #of List of Fixtures Fixtures Fixtures Fixtures Fixtures A/C—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 1 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 PERM 029 E=n M1ye:t-schnell�ashingonene�y rim \ �O� NikkiHyett-Schnell 04/10/18 aaa=nn:�am�M1ea��no,n��hsd��^,en Owner/Authorized Agent Signature Date (Revised 10/12/2015)