12906 19TH AVE SE 2019-09-18 - Laserfiche WebLink

PERMIT APPLICATION BUILDING /MECHANICAL/PLUMBING/SIGN /SPRINKLER/DEMOLITION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET,EVERETT,WA 98201 (P)425-257-8810 I FAX 425-257-8857 I(E)everetteps@everettwa.gov I www.everettwa.gov/permits {Flue of Black t OInly Please) P�R:OJECT SITE INFORMATION PROJECT SITE ADDRESS: 12906 Bothell Everett Hwy. Everett, WA 98208 PROPERTY TAX#: 28053000406200 LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORM TIlR N , . OWNER NAME: FRED MEYER STORES INC TENANT NAME(If Commercial): TBD OWNER MAILING ADDRESS: STREET 1014 VINE ST crrY CINCINNATI, STATE OH ZIP 45202 OWNER PHONE: N/A OWNER EMAIL: N/A CONTRACTOR NAME: Reliance Fire Protection CONTRACTOR ADDRESS: STREET 8168 304th Ave SE PO Box 428 CITY Preston, STATE WA ZIP 98050-0428 CONTRACTOR PHONE: CONTRACTOR EMAIL: CONTRACTOR LICENSE#(REQUIRED): CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): PRIMARY CONTACT: ❑OWNER ,Vr CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 206-682-6636 Oleg Sergeev CONTACT EMAIL: Oleg@reliancefire.com :. _ ,BUILD11,10# Rlttt#App.1,1a( AT oN... .;'. e . . Existing Use of Building:Starbucks Coffee ,Contract Price of Work:$ 7,5300 Proposed Use of Building: Shell Space Heat Source: ❑Gas ❑Electric ❑Other Building Type: ❑SFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units: l7Commercial ❑Industrial Type of Project: ['New ❑Addition ORemodel ❑Repair ❑T.I. OSign OSprinkler ['Demolition ['Change of Use DESCRIPTION OF WORK: To begin at the existing overhead sprinkler system's branch lines to add and relocate sprinklers in open space ASSOCIATED BUILDING PERMIT#(if applicable): MECHANICAL.PERNfIIT APP1.1CA 'ICIN PLUMBIN `FERMI C AP ►#,I q'1 t N Type of Project: _New Addn _Alteration _Repair Type of Project: _New _Addn Alteration _Repair #of List of Fixtures #of List of Fixtures #of List of Fixtures #of List of Fixtures Fixtures Fixtures Fixtures Fixtures NC—Air Handling Units Heat Pump Toilet Backflow Preventer(Inside Bldg) Forced Air Systems Unit Heater Bathtub Urinal Gas Piping 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.) Other: RII 1K ER 1 SUPPRESS.IIO i SYS' EM i 5 Chemical or Water ' 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 lam 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 /0 9l l g PERM�T Owner/Authorized As, ignature Date (Revised 9/23/2016)