6930 LOWER RIDGE RD 2018-05-22 - Laserfiche WebLink

PERMIT APPLICATIO . BUILDING / MECHANICAL/ PLUMBING /SIGN / SPRINKLER/ DEMOLITION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET,EVERETT,WA 98201 (P)425-257-8810 � FAX 425-257-8857 �(E)everetteps@everettwa.gov� www.everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: � q (� �Ul� �`tX Z `\,� PROPERTY TAX#: LEGAL for new construction: Short PlaUsubdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: � v �S TENANT NAME(If Commercial): OWNER MAILING ADDRESS: sTREET �� I Z �� L l,J CITY � Q STATE ZIP �Z�� OWNER PHONE: (i(Z S� — p OWNER EMAIL: �� t� wt.a.,�� . �o�•�. CONTRACTOR NAME: CONTRACTOR ADDRESS: sTREET CI7l' STATE ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: CONTRACTOR LICENSE#(REQUIRED): CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): PRIMARY CONTACT: �] OWNER ❑CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: n/�', i1� 1 ,G�S CONTACT PHONE: l� Z 5- , �� C1 . �O Z� �"Y/`-�( 1 l�(/ CONTACT EMAIL: fy�,u,r(�, �vC«-Sc a vr.a.� �(lOv� BUILDING PERMIT APPLICATION Existin Use of Buildin , F^' ` '' � �� g g: {= � Contract Price of Work:$ Proposed Use of Building: s�2 Heat Source: ❑Gas ❑Electric ❑Other Building Type: �SFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units: ❑Commercial ❑Industrial Type of Project: ❑New ❑Addition ❑Remodel I�f Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: Q,LPc�,i r I o wr.. 5��n� o�.- bG�L�� t- '�- I�o�S"�� V ��b^ �tcx� �l/Lr-r^.l�S �l9 CGA�r (�orc,L�� ('e- �Lt, K.�GI,tGv� # Gd��'c`/1L�S� rt,�`G�-l.L Drn.�`�D�v+'t U�^+'�� � 'r��C�'v�'25 i �fi�U Y�+►�fn�ll9v� �h �jO�i{"� {�atS. �anCrc��- ��v�ir�� ASSOCIATED BUILDING PERMIT#(if applicable): MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION Type of Project: _New _ Addn _Alteretion _Repair Type of Project: _New _Addn �Alteration �C Repair #of List of Fixtures ��f List of Fixtures #�f List of Fixtures #°f List of Fixtures Fixtures Fixtures Fixtures Fixtures A/C–Air Handling Units Heat Pump '�. Toilet Backflow Preventer(Inside Bldg) Forced Air Systems Unit Heater 1 Bathtub Urinal Gas Piping Boiler 1 Lavatory(Wash Basin) Drinking Fountain Water Heater Refrigeration Shower Floor Drain Gas Fireplace Wood Stove 1 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.) 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 permif must comply with current federal,state,and local law. The gran' 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 der any "cumstance.I am the owner,or I am authorized by the owner of this property to perform the work for which application is made, and I co ply with fhe State Contract s Law 18.27 R W and 296.ZOOA WAC. City of Everett Otficial Use Only 1� � ZD �� PERMIT!# •� \ _ � �� U � 1 Ow er/Authorized Agent Signature Date (Revised 5/20/2016)