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7215 JUNIPER DR 2019-02-11
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7215 JUNIPER DR 2019-02-11
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2/11/2019 9:55:46 AM
Creation date
2/11/2019 9:55:39 AM
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Address Document
Street Name
JUNIPER DR
Street Number
7215
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PERMIT APPLICATIOT■, <br /> BUILDINiJI-IIIECHANICAL/ PLUMBING /SIG RINKLER/ DEMOLITION <br /> /��► CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET,EVERETT,WA 98201 <br /> (P)425-257-8810 1 FAX 425-257-8857 1(E)everetteps@everettwa.gov I www.everettwa.gov/permits <br /> (Blue or Black Ink Only;Please) PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS: 7215 Juniper Drive PROPERTY TAX#: 00594200300102 <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> :CONTACT INFORMATION <br /> OWNER NAME: Bill Burns TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: STREET 7215 Juniper Drive <br /> CITYEverett STATE WA ZIP 98203 <br /> OWNER PHONE: 425-244-4093 OWNER EMAIL: Bill-burns@msn.com <br /> CONTRACTOR NAME: RAM JACK WEST <br /> CONTRACTOR ADDRESS: STREET Po Box 11701 <br /> CITY Eugene STATE OR ZIP 97402 <br /> CONTRACTOR PHONE: 541-688-7177 CONTRACTOR EMAIL: Info@ramjackor.Com <br /> CONTRACTOR LICENSE#(REQUIRED): RAMJAW*852PW CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 57547 <br /> PRIMARY CONTACT: 0 OWNER 0 CONTRACTOR toe OTHER(Please Specify) Contractor Coordinators <br /> CONTACT NAME: CONTACT PHONE: 541-852-1976 <br /> Korey Yada CONTACT EMAIL: Korey@ramjackwest.com <br /> r.; ., BUItDING:PERMIT-APPLICATION<; <br /> Existing Use of Building:SFR Contract Price of Work:$ LU,/10.00 <br /> Proposed Use of Building: Heat Source: ❑Gas ❑Electric ❑Other <br /> Building Type: OSFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units: ❑Commercial ❑Industrial <br /> Type of Project: El New ❑Addition ❑Remodel ORepair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use <br /> DESCRIPTION OF WORK: <br /> Install (12) RamJack Helical Piers to stabilize existing foundation. <br /> ASSOCIATED BUILDING PERMIT#(if applicable): NA <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type of Project: _New _ Addn _Alteration _Repair Type of Project: _New _Addn _Alteration _Repair <br /> #of List of Fixtures #of List of Fixtures #of List of Fixtures #of List of Fixtures <br /> Fixtures Fixtures Fixtures Fixtures <br /> A/C—Air Handling Units Heat Pump Toilet Backflow Preventer(Inside Bldg) <br /> Forced Air Systems Unit Heater Bathtub Urinal <br /> Gas Piping Boiler Lavatory(Wash Basin) Drinking Fountain <br /> Water Heater Refrigeration Shower Floor Drain <br /> Gas Fireplace Wood Stove Kitchen Sink&Disposal Grease Trap <br /> Gas Range Ducting Dishwasher Roof Drains <br /> Clothes Dryer Hookups Other: Clothes Washer Medical Gas <br /> Range Hood Water Heater Other: <br /> Exhaust Fan Sink(Service/Bar/Mop/etc.) Other: <br /> SPRINKLER/SUPPRESSION SYSTEM ;, <br /> 'Chemical or Water I INo.of Heads <br /> 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 <br /> current 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 <br /> Building 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, <br /> and I comply with the State Contractors Law 18.27 RCW and 296.200A WAC. <br /> City of Everett Official Use Only <br /> f /yies PERMITt 1 n m- <br /> Ow er/A or' ed Agent Signature D (Revised 9/23/2016) 7 <br />
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