615 VIEW RIDGE DR 2017-07-17 - Laserfiche WebLink

PERMIT APPLICATION BUILDING ECHANICAL I PLUMBING / SIGN /ill tZINKLER/ DEMOLITION 4*7T CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET,EVERETT,WA 98201 (P)425-257-8810 1 FAX 425-257-8857 1(E)everetteps@everettwa.gov I www.everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: j v` , . 'U. PROPERTY TAX#: LEGAL for new construction: Short Plat/subdivisic)n Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: sm'LA41TENANT NAME(if Commercial): OWNER MAILING ADDRESS: SrREEr COA5v'eta ' ct '" l-ttq TEF "l83 srgT;E OWNER PHONE: u 25 2-�;2 12F(-p OWNER EMAIL: CONTRACTOR NAME: CONTRACTOR ADDRESS: STREET ary 1" h (•. STATE �, ZIP t Gam` CONTRACTOR PHONE: LJ CONTRACTOR EMAIL: CONTRACTOR LICENSE#(REQUIRED): �f L�ti �ti 7-'C[V-1 CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): i!"'3(1 t PRIMARY CONTACT: ❑OWNER 'CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: L xL CONTACT EMAIL:f BUILDING PERMIT APPLICATION Existina Use of Buildin Contract Price of Work: $ 400C) Proposed Use of Building: Heat Source: as ❑Electric ❑Other Building Type: FR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units: []Commercial ❑Industrial Type of Pf9ject. ❑New []Addition ❑Remodel ;a Repair ❑T.I. ❑Stn ❑S rinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: -&i p)Ace, G-A5 -Vi e-c c-r tKor ASSOCIATED BUILDING PERMIT# if applicabley MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION Type of Project: _New _ Addn —Alteration-r!Repair Type of Project: _New _Addn —Alteration Repair #of List of Fixtures #07 #of Fixtures List of Fixtures List of Fixtures #of List of Fixtures Fixtures Fixtures Fixtures A/C-Air Handling Units Heat Pump Toilet Backflow Preventer(Inside Bldg) Forced Air Systems Unit Heater Bathtub Urinal Gas Pipiriq 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/Bar/Mop/etc.j tither: SPRINKLER I SUPPRESSION SYSTEM Number of Heads iCKNOWLEDGEMENT I have reviewed this application and confirm the information contained herein is true and correct.Work done pursuant to this permit must comply with urrent 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 luilding 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, nd I comply with the State Contractors Law 18.27 RCW and 296.200A WAC. City of Everett Official Use Only PE-M# � t e rn@rlAuthorized Agent Signature pate (Revised 9f2,'V2016)