Laserfiche WebLink
PERMIT APPLICATION <br /> BUILDING/ MECHANICAL IPLUMBING /SIGN /SPRINKLER/ DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET,EVERETT,WA 98201 <br /> (P)425-257-8810 1 FAX 425-257-8857 I(E)everetteps@everettwa.gov I www.everettwa.gov/permits <br /> 41,41.,,,,Iack IlnkOfIV.Please . . R©$0t INFO ., r ... ,l , WC2.��t2Z.,,,g,,. <br /> PROJECT SITE ADDRESS:1704 PUGET DR PROPERTY TAX#:00393900601003 <br /> LEGAL for new construction: Short Plat/subdivision BEVERLY PARK PLAT Lot No. 10-11 (attach copy of long legal description) <br /> OWNER NAME: CHRIS RIDDLE TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: STREET 1704 PUGET DR <br /> CITY EVERETT STATE WA ZIP 98203 <br /> OWNER PHONE:(425)387-1777 OWNER EMAIL:CRIDDLE21 @HOTMAIL.COM <br /> CONTRACTOR NAME:HOME DEPOT USA INC <br /> CONTRACTOR ADDRESS: STREET2455 PACES FERRY RD <br /> CITY ATLANTA STATE GA ZIP 30339 <br /> CONTRACTOR PHONE:360-945-2787 CONTRACTOR EMAIL:HD@NWPERMIT.COM <br /> CONTRACTOR LICENSE#(REQUIRED):HOMED**088RH CITY OF EVERETT BUSINESS LICENSE#(REQUIREy 57001 1 <br /> PRIMARY CONTACT: 0 OWNER 0 CONTRACTOR E OTHER(Please Specify) CONTRACTOR'S AGENT <br /> CONTACT NAME: CONTACT PHONE:360-945-2787 <br /> CHLOE BARKER/ NW PERMIT INC CONTACT EMAIL:HD@NWPERMIT.COM <br /> 7' ,<, BEiiKiDiING PERMI'rAPP; $CATIO „-W#�`` Ff <br /> Existing Use of Building:SFR Contract Price of Work:$11,506.55 <br /> Proposed Use of Building:SFR Heat Source: ❑Gas ❑Electric ❑Other <br /> Building Type: ❑SFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units: ❑Commercial ❑Industrial <br /> Type of Project: ❑New ❑Addition ❑Remodel Repair DTI. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use <br /> S RIPTIOHO ORK: <br /> ep acing 18.i' Wsquares of comp and 5 squares/sheets of decking; 1/2" CDX, 6/12 nail pattern, 4'staggered, 24" OC. (No <br /> plywood unless found at time of install.) <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> ;,z,gt*Ec,IIANICAL PERMIT APPiI..ICATI,OIti P.. ilh[T AP:PLIGA � ..; <br /> Type of Project: _New _ Addn _Alteration Repair Type of Project: _New _Addn _Alteration _Repair <br /> #of List of Fixtures #of List of Fixtures #of List of Fixtures #of List of Fixtures <br /> Fixtures Fixtures Fixtures Fixtures <br /> A/C—Air Handling Units Heat Pump Toilet —Backflow Preventer Inside Bid• <br /> Forced Air Systems _ Unit Heater —Bathtub —Urinal <br /> Gas Piping Boiler _Lavato (Wash Basin) —Drinkin• Fountain <br /> Water Heater Refrigeration —Shower —Floor Drain <br /> Gas Fireplace Wood Stove —Kitchen Sink&Dis.osal —Grease Trap <br /> Gas Range Ducting —Dishwasher —Roof Drains <br /> Clothes Dryer Hookups Other: —Clothes Washer —Medical Gas <br /> Range Hood _ —Water Heater —Other: <br /> Exhaust Fan —Sink Service/Bar/Mo./etc. —Other: <br /> S001#1KLEICISUPpREs$ l EM <br /> Chemical or Water f No.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 /> Chloe Barker DDatieta:1 <br /> 21y0s180e5d3b0y 1C3h:4lo4B7 a-0rk7e'0r 0' 1 1/202018 PERMIT <br /> 1 11,R -o l e <br /> Owner/Authorized Agent Signature Date (Revised 9/23/2016) <br />