4320 RIDGEMONT DR 2019-04-29 - Laserfiche WebLink

• PERMIT APPLICATION ,,‘ BUILDING/MECHANICAL/ PLUMBING /SIGN/SPRINKLER/ DEMOLITION i. CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET,EVERETT,WA 98201 (P)425-257-8810 I 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: 20to ��qe pi ; ° yr't((/e PROPERTY TAX#: LEGAL for new construction: Short Plat/subdivision �f Lot No. (attach copy of long legal description) _ CONTACT INFORMATION OWNER NAME: (..%150n Bot~fry,e r TENANT/+ NAME(If Commercial): OWNER MAILING ADDRESS: STREET 3p7 0 �4evi. 4" pri eCITY t/ STATE (A/ ZIP 8 f�Oj OWNER PHONE: 4 ? 5 3 lc 53 3 b OWNER EMAIL: 50,47® V4 L z Wm CONTRACTOR NAME: 0.--,th Dan ply CONTRACTOR ADDRESS: STREET '20 Z,le 6"-f- S hI CITY A®l)4 f'1/�` 6 ,°(1C (C STATE Of ZIPIS0 C 3 l � YV �j � /CONTRACTOR PHONE: 2%—161 0557 COppNTRACTOR EMAIL: ` fIj/1dai,/ij P®Z.(4i`Ci c„,,i CONTRACTOR LICENSE#(REQUIRED): TRIM f%7' 13 3 CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 05‘702. PRIMARY CONTACT: OWNER 0 CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: r� �J CONTACT PHONE: //2 5 31 5 5 3 3(J \/ 4 5.a✓ O"{ '�a j(� CONTACT EMAIL: O®dJ 0,44 1 BUILDING PERMIT APPLICATION r� Existing Use of Building: Contract Price of Work:$ I '�-L�C L 6 _ y Proposed Use of Building: Heat Source: ❑Gas DElectric ❑Other Building Type: ❑SFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units: ❑Commercial El Industrial Type of Project: ❑New ❑Addition ❑Remodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: ASSOCIATED BUILDING PERMIT#(if applicable): M(c11l (IA i r ph rig vq)6(71 e0+ l gq(cl ei MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPJ.ICATION Type of Project: _New_ Addn _Alteration _Repair Type of Project: _New _Addn VAlteration _Repair #of List of Fixtures #of List of Fixtures #of List of Fixtures #of List of Fixtures Fixtures Fixtures Fixtures Fixtures A/C–Air Handling Units Heat Pump ( Toilet Backflow Preventer(Inside Bldg) Forced Air Systems Unit Heater Bathtub Urinal Gas Piping BoilerLavatory(Wash Basin) Drinking Fountain Water Heater Refrigeration f Shower Floor Drain Gas Fireplace Wood Stove Kitchen Sink&Disposal Grease Trap Gas Range Ducting Dishwasher Roof Drains Clothes Dryer Hookups Other: 0 Clothes Washer Medical Gas Range Hood Water Heater Other: Exhaust Fan i Sink(Service/Bar/Mop/etc.) Other: SPRINKLER/SUPPRESSION SYSTEM Chemical or Water I No.of Heads 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 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 Building Official before being authorized under any circumstance.I am the owner,or/am authorized by the owner of this property to perform the work for which application is made, and I comply with the State Contractors Law 18.27 RCW and 296.200A WAC. City of Everett Official Use Only 7i- id-4 � 1,------- PERMIT# 1gOr/j� y014Ow eu‘orized Agent Signature Date (Revised 9/23/2016)