811 MADISON ST 2019-11-06 - Laserfiche WebLink

OLTPERMIT APPLICATIOh BUILDING / MECHANICAL I PLUMBING / SIGN / SPRINKLER/ DEMOLITION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET,EVERETT,WA 98201 (P)425-257-8810 I FAX 425-257-8857 l(E)everetteps@everettwa.gov I www.everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS:811 Madison St Everett WA 98203 PROPERTY TAX#: 0218420 LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: SUNRISE SERVICES INC TENANT BUSINESS NAME(Commercial): Sunrise Services OWNER MAILING ADDRESS: STREET PO BOX 2569, EVERETT, WA 98213-0569 arr Everett STATE WA LP 98213 OWNER PHONE: 4252124201 OWNER EMAIL:Jeep@sunriseemail.com CONTRACTOR NAME:Fastsigns-Everett CONTRACTOR ADDRESS: STREET2802 Colby Ave cin, Everett STATE WA zip 98201 CONTRACTOR PHONE:425.438.9350 CONTRACTOR EMAIL:alicia.knabe@fastsigns.com CONTRACTOR LICENSE#(REQUIRED):CCFASTS**832JK CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 056308 PRIMARY CONTACT: 0 OWNER 0 CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:Ofc: 425.438.9350 Alicia Knabe CONTACT EMAIL:alicia.knabe@fastsigns.com BUILDING INFORMATION Existing Use of Building: 174 Retirement Home/Orphanages Contract Price of Work: $2211.00 Proposed Use of Building:same Heat Source: ❑Gas ❑Electric ❑Other BUILDING USE: ❑SFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: ❑Commercial ❑Accessory Structure Type of Project: :New ❑Addition ❑Remodel ❑Repair LJT.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: Installing One Non Illuminated Exterior Sign Above Entrance ASSOCIATED BUILDING PERMIT#(if applicable): MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION Fixture Fixture Fixture Fixture List of Fixtures List of Fixtures List of Fixtures List of Fixtures Count Count Count Count 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 Ventilatior Floor Drain Toilet Exhaust Hood(Type I) (Not Heat/AC system) Hose Bibb Urinal Exhaust Hood(Type II) Water Heater Interceptor-Grease Waste/Water Piping Repair Exhaust Hood(Residential) Wood Stove Interceptor-Sand/Oil Water Service(behind meter) Forced Air Systems Other: Medical Gas Water Valves or Fixtures Gas Fireplace/Insert/Log Roof Drains Water Heater SPRINKLER/SUPPRESSION SYSTEM Sewage Ejector or Sump Pump Other: Water Suppression System No.of Heads Chemical Suppression System No.of!leads 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 I 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 UseOnly /f 7- 1 ' (,)7,-2_,e3 ! (c PERMIT~ M 1 — 0`-'r (4 1 Owner uthorized Agent Sig ature Date (Revised 10/10/2018)