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917 RIVERSIDE RD 2020-04-02
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917 RIVERSIDE RD 2020-04-02
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4/2/2020 11:09:38 AM
Creation date
4/2/2020 11:08:49 AM
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Address Document
Street Name
RIVERSIDE RD
Street Number
917
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PERMIT APPLICATION <br /> BUILDING / MECHANICAL/ PLUMBING /SIGN /SPRINKLER/ DEMOLITION <br /> E V E R E T TCITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> WASHINGTON (P)425-257-8810 I FAX 425-257-8857 l(E)everetteps@everettwa.gov I www.everettwa.gov/permits <br /> (Blue or Black Ink Only Please) PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS:917 Riverside Road. PROPERTY TAX#: <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME: Snohomish County TENANT BUSINESS NAME(Commercial): Republic Services <br /> OWNER MAILING ADDRESS: STREET3000 Rockefeller Avenue M/S 404 <br /> CITY EverettSTATE WA ZIP 98201 <br /> OWNER PHONE: 425-388-3400 OWNER EMAIL:Cherie.hutchins@snoco.org <br /> CONTRACTOR NAME:Rhine Demolition <br /> CONTRACTOR ADDRESS: STREET 1 124 112th Street E <br /> CITY Tacoma STATE WA zip 98445 <br /> CONTRACTOR PHONE:253-537-5852 CONTRACTOR EMAIL:deannap@rhinedemolition.com <br /> CONTRACTOR LICENSE#(REQUIRED):RHINEDL893BE CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 049456 <br /> PRIMARY CONTACT: 0 OWNER 0 CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE:206-637-0847 <br /> Brice Little CONTACT EMAIL:blittle@republicservices.com <br /> BUILDING INFORMATION <br /> Existing Use of Building: Contract Price of Wr1. $ VCS 000 s <br /> Proposed Use of Building: Heat Source: ❑Ga� •e@y-❑Othe <br /> BUILDING USE: ❑SFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: ❑Commercial ❑Accessory Structure <br /> Type of Project: ❑New ❑Addition ❑Remodel ❑Repair ❑T.I. ❑Sign OSprinkler ❑✓Demolition ❑Change of Use <br /> DESCRIPTION OF WORK: Removing stand alone open sided structure. <br /> upe- e L (Scs.o.ta <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Fixture Fixture Fixture Fixture <br /> Count List of Fixtures count List of Fixtures Count List of Fixtures Count List of Fixtures <br /> A/C—Air Handling Units Gas Piping Backflow Preventer(Inside Bldg) Shower,Tub,or Combo <br /> Boiler Gas Range Clothes Washer Sink-Commercial(3-comp,prep,floor) <br /> Clothes Dryer Heat Pump&Ductless Dishwasher Sink-Residential(kitchen,bath,bar) <br /> Duct System(Remodel) Refrigeration Drinking Fountain Sink-Utility, laundry,mop <br /> Exhaust Fans(Residential) Commercial Ventilator Floor Drain Toilet <br /> Exhaust Hood(Type I) (Not Heat/AC system) Hose Bibb Urinal <br /> Exhaust Hood(Type II) Water Heater Interceptor-Grease Waste/Water Piping Repair <br /> Exhaust Hood(Residential) Wood Stove Interceptor-Sand/Oil Water Service(behind meter) <br /> Forced Air Systems Other: Medical Gas Water Valves or Fixtures <br /> Gas Fireplace/Insert/Log Roof Drains Water Heater <br /> SPRINKLER/SUPPRESSION SYSTEM Sewage Ejector or Sump Pump Other: <br /> Water Suppression System No.of Heads <br /> Chemical Suppression System No.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.I am the owner,or I 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 /> Little,Brice Date'zo;9o;,9",0:323;"-0roo PER 7/19/2019 <br /> Owner/Authorized Agent Signature Date (Revised' 10co LI <br /> /2018) <br />
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