7200 LOWER RIDGE RD A 2017-01-13

• PERMIT APPLICATIO� BUILDING / MECHANICAL / PLUMBING / SIGN / SPRINKLER / DEMOLITION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P) 425-257-8810 � FAX 425-25 �(E) everetteps@everettwa.gov � wwnv.everettwa.gov/permits lue or B[ack Ink Or�ly Pl�ase) PRQJ SI E IN�QRMATION OJECT SITE ADDRESS: 7200 LOW@f RICIg@ RC� pt A,i� PROPERTY TAX #: 0039200O003SO4 (paf C@I for new construction Short PlaUsubdivisi No. �ed'�°'eO (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: TOf11 Stlp@CIl TENANT NAME (If Commercial): OWNER MAILING ADDRESS: srReeT 22928 Barker Rd CITV B�lhe�� STATE W/� ZIP 98021 OWNER PHONE: 42�J-2SO-6�JGO OWNER EMAIL: tomstipech@hotmail.com coNTRACTOR NAnne: Amped Electric & Mechanical LLC CONTRACTOR ADDRESS: sTREeT PO BOX 86H c�rr Everett sTnTe WA zia 98206 CONTRACTOR PHONE: 360-294-8276 CONTRACTOR EMAIL: info ampedelectricllc.com coNTwacTOR �icervse #�REQuiRE : AMPEDEM854CQ CITY OF EVERETT BUSINESS LICENSE #(REQUIR �: 048712 PRIMARY CONTACT: ❑ OWNER �I CONTRAC THER (Please Specify) CONTACT NAME: CONTACT PHONE: 425-330-479H Jamen Maier CONTACT EMAIL: �amen@ampedelectricllc.com BUILDING PERMIT APPLiCAT10N Existin Use of Buildin : Residenti8l Contract Price of Work: $ � 5OO Proposed Use of Buildin : no change Heat Source: �Gas ❑Electric ❑Other Buildin T e: ❑SFR-Detached ❑SFR-Attached �1Du lex ❑Multi-Famil -# of Units: ❑Commercial ❑Industrial T pe of Pro ect: ❑New ❑Addition ❑Remodel �Repair ❑T.I. ❑Si n ❑Sprinkler ❑Demolition ❑Chan e of Use DESCRIPTION OF WORK: Replacement of Forced Air System ASSOCIATED BUILDING PERMIT # if a licable : MECHANICAL PERMfT 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 FiMures # of List of Fixtures # of List of Fi�ures Fi�ctures Fixtures Fixtures Fixtures A/C — Air Handlin Units Heat Pump Toilet Backflow Preventer (Inside Bld ) i Forced Air S stems Unit Heater Bathtub Urinal Gas Pipin Boiler Lavato (Wash Basin) Drinkin Fountain Water Heater Refri eration Shower Floor Drain Gas Fireplace Wood Stove Kitchen Sink & Disposal Grease Trap Gas Ran e Ductin Dishwasher Roof Drains Clothes Dryer Hookups Other: Clothes Washer Medical Gas Ran e Hood Water Heater Other: Exhaust Fan Sink (Service/Bar/Mo /etc. Other: SPRINKLER / SUPPRESSION SYSTEM Number of Heads ACKNOWLEDGEMENT I have reviewed this application and confirm the informafion contained herein is true and correct. Work done pursuant to this permit must comply with current federal, state, and /oca/ 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. 1 am the owner, or I am authorized by fhe owner of this property to pertorm 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 O(ficial Use Only �� n��-�� 10-18-2016 P M# l�( O- 0� Owner/Authorized Agent Signature Date (Revised 9/23/2016)