Laserfiche WebLink
PERMIT APPLICATIO <br /> �� BUILDING—ECHANICAL/ PLUMBING /SIGN <br /> INKLER/ DEMOLITION <br /> 1� CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET,EVERETT,WA 98201 <br /> (P)425-257-8810 I FAX 425-257-8857 1(E)everetteps@everettwa.gov I www.everettwa.gov/permits <br /> (Blue or Black Ink Only Please) PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS: 3402/9494 McDougal Ave Everett,WA PROPERTY TAX#: <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME: Snohomish County Facilites Management TENANT NAME(If Commercial): Snohomish County Fleet/Hazardous Waste <br /> OWNER MAILING ADDRESS: STREET 3000 Rockefeller Ave MS/404 <br /> CITY Everett STATE WA ZIP 98201 <br /> OWNER PHONE: 425 388 3381 OWNER EMAIL: L.Gray@co.snohomish.wa.us <br /> CONTRACTOR NAME: Axiom Div.7 <br /> CONTRACTOR ADDRESS: STREET PO Box 71 <br /> CITY Lynden STATE WA ZIP 98264 <br /> CONTRACTOR PHONE: 360 354 1184 CONTRACTOR EMAIL: lambro@axiomd7.net <br /> CONTRACTOR LICENSE#(REQUIRED): AXIOMD7920CF CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 050475 <br /> PRIMARY CONTACT: 0 OWNER pr CONTRACTOR 0 OTHER(Please Specify) Axiom Div. 7 Inc <br /> CONTACT NAME: CONTACT PHONE: 425 367 2467 <br /> Tim Lambro CONTACT EMAIL: lambro@axiomd7.net <br /> BUILDING PERMIT APPLICATION <br /> Existing Use of Building:County Fleet Services and Maintenance Contract Price of Work: MO •0-0 <br /> Proposed Use of Building: No Change Heat Source: iiiGas ❑Electric ❑Other <br /> Building Type: ❑SFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units: RiCommercial ❑Industrial <br /> Type of Project: ONew ❑Addition ❑Remodel IaRepair ❑T.l. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use <br /> DESCRIPTION OF WORK: <br /> Tear off of existing roof system down to roof deck(car decking). Over existing decking, nail new 1/2"CDX plywood.Install new <br /> R38 insulation, new taper as neccessary for drainage. New torch down 3ply roof assembly and associated sheet metal and <br /> wood nailers as needed. <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> MECHANICAL PERMIT APPLICATION. PLUMBING PERMIT APPLICATION <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 o xtures <br /> Fixtures Fixtures Fixtures Fixtures <br /> NC—Air Handling Units Heat Pup. Toilet Backflo reventer(Inside Bldg) <br /> Forced Air Systems U ' 'eater Bathtub Ur' <br /> Gas Piping :oiler Lavatory(Wash Basin) rinking Fountain <br /> Water Heater Refrigeration Shower Floor Drain <br /> Gas Fireplace Wood Stove Kitchen Sink&Disposal Grease Trap <br /> Gas Range Ducting Dishwasher Roof Drains <br /> Clothes Dryer Ho. ps Other: Clothes Washer Medical Gas <br /> Range Hood Water Heater Other: <br /> Exhaust F. Sink(Serv' /Bar/Mop/etc.) Other: <br /> SPRINKLER/SUPPRESSION SYSTEM <br /> Chemical or Water INo.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 lam 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 /> e40/5PERM 1 (.0 �� <br /> ner/Authorized Age ignature Dae (Revised 9/23/2016) ( 11.7 <br />