Laserfiche WebLink
`I BUILDING IECHANICAL / PLUMBING / SIGN 'RINKLER / DEMOLITION <br /> EVERETTCITY OF EVERETT PERMIT SERVIC:__ <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> WASHINGTON (P)425-257-8810 1 FAX 425-257-8857 1 (E)everetteps@everettwa.gov I www.everettwa.gov/permits <br /> (Blum or Black Ink Only Ploaso) PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS:9308 9th Drive Dr. S. 00648300000500 <br /> E PROPERTY TAX#: <br /> LEGAL for new construction: Short Plat/subdivision Mtn View Div. No.3 Lot No. 5 (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME: Duffy Ann Soil TENANT BUSINESS NAME(Commercial): <br /> OWNER MAILING ADDRESS: STREET9308 9th Drive S.E <br /> QTY Everett STATE Washington ZIP 98208 <br /> OWNER PHONE: <br /> 425-418-2217 OWNER EMAIL: <br /> CONTRACTOR NAME: Raul Jack West <br /> CONTRACTOR ADDRESS: STREET 862 Bethel Drive <br /> Eugene OR 97402 <br /> CITY STATE ZIP <br /> CONTRACTOR PHONE:541-852-1976 CONTRACTOR EMAIL: <br /> CONTRACTOR LICENSE#(REQUIRED):RAMJAW*852PVb CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): <br /> PRIMARY CONTACT: 0 OWNER 0 CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE:541-852-1976 <br /> Korey Yada CONTACT EMAIL: Korey@ramjackwest.com <br /> BUILDING INFORMATION <br /> Existing Use of Building: Contract Price of Work: $23,330.00 <br /> Proposed Use of Building: Heat Source: ❑Gas DElectric DOther <br /> BUILDING USE: OSFR Townhouse ❑Duplex ❑ADU ❑Multi Family-# Units: Commercial ❑Accessory Structure <br /> Type of Project: New Addition ❑Remodel ❑✓Repair T.I.❑ ❑Sign ❑Sprinkler Demolition Change of Use <br /> DESCRIPTION OF WORK: Install 12 Ram Jack Piers to stabilize portion of existing foundation. *No change to footprint* <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 Ventilation 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/InserULog 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 /> / y/f- k... kit- A./ PERMIT# <br /> \Ct o o'DJ <br /> " 1� <br />