4432 RIDGEMONT DR 2017-01-13 - Laserfiche WebLink

� � � PERMIT APPLICATIO ' BUILDIN�ECHANICAL / PLUMBING / SIGN�RINKLER / DEMOLITION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 � J��('� ��eJl I9•� t<�}GvJ (P) 425-257-8810 � FAX 425-257-8857 �(E) everetteps@everettwa.gov � www.everettwa.gov/permits PROJECT SITE INFORMATION PROJECT SITE ADDRESS: PROPERTY TAX #: LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: ,Jim & Mcar Coner TENANT NAME (If Commercial): OWNER MAILING ADDRESS: sTReEr 4��132 lii,cl P,m,ont Ur cirv F,verett sTnTe I�/1 ziP 9�3203-1 f33.1 OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME; The Plumbin Physician CONTRACTOR ADDRESS: sTReeT PO I�ox 2213 cin' Lrnnwood STATE ►�l�j ziP 9803� CONTRACTOR PHONE: �2i-771-6200 CONTRACTOR EMAIL: PLUM73PHYc�AOL.GOM CONTRACTOR LICENSE #(REQUIRED): PL UMBP�O44Dcg CITY OF EVERETT BUSINESS LICENSE #(REQUIRED): D485�L� PRIMARY CONTACT: ❑ OWNER � CONTRACTOR ❑ OTHER (Please Specify) CONTACT NAME: CONTACT PHONE: �cel1�425-508-�102 Bracl ,Sutton CONTACT EMAIL: BUILDING PERMIT APPLICATION Existing Use of Building: Contract Price of Work: $ 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 ❑Change of Use DESCRIPTION OF WORK: ASSOCIATED BUILDING PERMIT # (if applicable): MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION Type of Project: _New _ Addn _Alteration _Repair Type of Project: _New _Addn _;�__Alteration _Repair # of List of Fixtures # of List of Fixtures # of List of Fixtures '� #°f List of Fixtures Fixfures Fixtures Fixtures Fixtures A/C — Air Handling Units Heat Pump 3 Toilet Backflow Preventer (Inside Bldg) Forced Air Systems Unit Heater j Bathtub Urinal Gas Piping Boiler ,j Lavatory (Wash Basin) Drinking Fountain Water Heater Refrigeration �] Shower Floor Drain Gas Fireplace Wood Stove j Kitchen Sink & Disposal Grease Trap Gas Range Ducting r 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 fi�st be authorized in writing from the Building Official before being authorized under any circumstance. I am the owner, or 1 am authorized by the owner of this property to perform the work for which application ' de, and I comply with the State Contractors Law 18.27 RCW and 296.200A WAC. City of Everett Official Use Only �Qi PERMIT # , � 4 _ ,. . ... . � � � �. . � . _ o�-n�>-�n � � ,, - ,�- � Owner/Autho zed Agent Signature Date (Revised��l'D712/2015J