3003 W CASINO RD BLDG 40-88 2019-10-31

rr PERMIT APPLICATION BUILDING /MECHANICAL/PLUMBING/SIGN /SPRINKLER/DEMOLITION E V E R E T TCITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET,EVERETT,WA 98201 WASHINGTON (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 oc/A/tr 1vcrl:crrE4ta-.'ry BI.Dcx i}o-$$ PROJECT SITE ADDRESS: 30 03 t dcsr r•,ts' J0 tzo,.nr £vc¢.rri o JA 0.4 Loa PROPERTY TAX# LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: too Lim 6,- Com p.A.JJy TENANT BUSINESS NAME(Commercial): OWNER MAILING ADDRESS: STREET 1'O Bo x 'S76 7- in.< (aA 1-01 cm ' SE.4.1-rt.L. STATE CAJA ZIP CIg12f.i OWNER PHONE: RAy Rialto Mimi GM (42.030-1807 OWNER EMAIL: RAywtuivoo,A.tZUkv2lrJ osrnit:.Cowl CONTRACTOR NAME; Ca-mccNSCf,22y =NOUSrt2IAL LLC. CONTRACTOR ADDRESS: STREET II$0 Nt..1 MAPLE_ Sr SrL 2-00 CITY I S S AQ.1.1,a14 STATE fvA ZIP q$0 Z-7- CONTRACTOR PHONE: (L/2,5) cl(ol — u7o0 CONTRACTOR EMAIL: 14x0 A),..s(ic 4 N (,rtZ.sc,uRt22Y.le,rt CONTRACTOR LICENSE#(REQUIRED): (x.g t LN X L q 2(o M 1. CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): S 7-6,31 PRIMARY CONTACT: O OWNER l:i[CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: ,...\A50lel soul-l- CONTACT PHONE: 3(00_q j, _6,i 4 ;- CONTACT EMAIL: ,,s„5o>u.suc,+c 6..2s_t:NR£1212y.Ca44 BUILDING INFORMATION Existing Use of Building: 0 FFic. . Contract Price of Work:$ 2.5 4, 4 51 Proposed Use of Building: No LH.,.,NC,rE_ Heat Source: OGas OElectric DOther BUILDING USE: OSFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: LICommercial ❑Accessory Structure Type of Project: ONew ❑Addition DRemodel KRepair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: 10. F.LPLAGLm£A/r of TN#6- Dow Csrlr_ w.464T(.cL BodsrLrt PUIM.p sYsrtsvt, 1, )41q) 0. )\ r--'f ASSOCIATED BUILDING PERMIT#(if applicable): N/A MECHANICAL PERMIT APPLICATION. PLUMBING PERMIT APPLICATION Fixture Fixture Fixture Fixture Count List of Fixtures count List of Fixtures Count List of Fixtures Count List of Fixtures ) A/C—Air Handling Units Gas Piping Backflow Preventer(Inside Bldg) Shower,Tub,or Combo . \ Boiler \ / Gas Range Clothes Washer Sink-Commercial(3-comp,prep,floor) / Clothes Dryer Heat Pump&Ductless Dishwasher Sink-Residential(kitchen,bath,bar) Duct System(Remodel) Refrigeration / Drinking Fountain Sink-Utility,laundry,mop Exhaust Fans(Residential) Commercial Ventilation Floor Drain Toilet /\ Exhaust Hood(Type I) (Not Heat/AC system) X Hose Bibb Urinal Exhaust Hood(Type II)/ Water Heater /\ Interceptor-Grease Waste/Water Piping Repair Exhaust Hood(Residential) Forced Air Systems Wood Stove / \ Interceptor-Sand/Oil Water Service(behind meter) 1.}Other: Water Valves or Fixtures Gas Fireplace/Insert/Log / Medical Gas Roof Drains Water Heater SPRINKLER/SUPPRESSION SYSTEM Sewage Ejector or Sump Pump Other: D(A) goo, Tf ft-Punt p Water Suppression System No.of Heads Chemical Suppression System 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.lam 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. or__ City of Everett Official Use Only N S1//.-- /// PERMIT1 0 I n ter/Authorized' gent-Signature I Date (Reviled 10/10/2018) 'L-