535 VIEW RIDGE DR 2017-01-13 - Laserfiche WebLink

PERMIT APPLICATION: BUILDING I MECHANICAL/ PLUMBING /SIGN /�'rilINKLER/ DEMOLITION CITY OF EVERETT PERMIT SERVICES EV 3200 CEDAR STREET,EVERETT,WA 98201 (P)425-257-8810 � FAX 425-257-8857 �(E)everetteps@everettwa.gov� www.everettwa.gov/permits ' ! PROJECT SITE INFORM�ITION PROJECT SITE ADDRESS: — PROPERTY TAX#: - � ! 5 35 u'r�f�tJRio6�/�D 4��6�7-(>O� - Z�(> �c�� LEGAL for new construction: Short PlaUsubdivision L.ot No. (attach copy of long legal description) " ` ' CONTACT 1NFORMATION OWNER NAME: `�Q � P�G��TAR v TENANT NAME(If Commercial): OWNER MAILING ADDRESS: sTREer � � ` � � �Z �� ' G1f�sT� cnv (�i �E'�1 ��6`�S sTn re ',4/� zir� rj�'z b�o OWNER PHONE: OWNER EMAIL: _ . __ . CONTRACTOR NAME: � �L� CONTRACTOR ADDRESS: sTREET CITY STATE z�P CONTRACTUR PHONE: CONTRACTOR EMAIL: CONTRACTOR LICENSE#(REQUIRED): CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): _.. _ . PRIMARY CONTACT: ❑OWNER ❑CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: �-y G �,/�/' �'L. /lO,p' CONTACT PHONE: �Z �— S f�1 — /S3 / 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 emolition ❑Change of Use DESCRIPTION OF WORK: T r�-�.� C� �►��=,,v �-�.,� � � �i � ASSOCIATED BUILDING PERMIT#(if applicable): ;' MECHANICAL PERMIT APPLfCAT10N:: 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 t��f List of Fixtures #°f List of Fixtures Fixfures Fixtures Fixtures Fixtures A/C—Air Handling Units Heat Pump Toilet Backflow Preventer(Inside Bldg) Forced Air Systems Unit Heater Bathtub Urinal Gas Piping Boiler Lavatory(Wash Basin) Drinking Fountain 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/BadMop/etc.) Other: SPRINKLER 7,SUPPRESSION SYSTEM Number of Heads ACKNOWLEDGEMENT.•I have reviewed this application and confirm the information contained herein is true and correct Work done pursuanf to this permrt 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 w�iting from the 8uilding Olficial before being authorized under any circumstance.I am the owner,or I arn authorized by the owner of this property to perform the work for which application is made, and 1 comply with the State Contractors Law 18.27 RCW and 296.200A WAC. City of Everett Officia/Use Only � � �� "�' %)_ PERMIT# .�. ,� �--' , ! � :�1 � l � o � - Dc�L ...�� � ,� Owner/Authorized Agen i na re Date (Revised 10/12/2015)