4425 S 3RD AVE ACROWOOD CORP 2019-11-14

OLT PERMIT APPLICATIOI4 BUILDING I MECHANICAL/ PLUMBING / SIGN I 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 (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS:4425 S 3rd Avenue, Everett, 98203 PROPERTY TAX#: 29053200200100/0005934 Parcel# LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: ACROWOOD CORPORATION TENANT BUSINESS NAME(Commercial): ACROWOOD CORPORATION OWNER MAILING ADDRESS: STREET4425 S 3rd Avenue cmv Everett STATE WA ZIP 98203 OWNER PHONE: 425-258-3555 OWNER EMAIL: CONTRACTOR NAME:D.K. Systems, Inc. CONTRACTOR ADDRESS: STREET PO Box 886/962 S. Spruce Street CITY Burlington STATE WA Zip 98233 CONTRACTOR PHONE:360-755-1555 CONTRACTOR EMAIL:kevin@dksystemsinc.com CONTRACTOR LICENSE#(REQUIRED):DKSYSI*982L1 CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 049744 PRIMARY CONTACT: 0 OWNER 0 CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:360-755-1555 Dulce Herrera CONTACT EMAIL:dulce@dksystemsinc.com BUILDING INFORMATION Existing Use of Building:Wood Chipping Processing Contract Price of Work: $40,000.00 Proposed Use of Building:Wood Chipping Processing Heat Source: OGas ❑Electric ❑Other BUILDING USE ❑SFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: ❑✓Commercial ❑Accessory Structure Type of Project: ❑New ❑Addition ❑✓Remodel ❑Repair ❑✓T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: Install (2) 1-1 Mini Splits, (1) 5-1 Mini Split, (1)Ventilating system - ERV ASSOCIATED BUILDING PERMIT#(if applicable): 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 NC—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 3 Heat Pump&Ductless Dishwasher Sink-Residential(kitchen,bath,bar) Duct System(Remodel) Refrigeration Drinking Fountain Sink-Utility,laundry,mop Exhaust Fans(Residential) i Commercial Ventilatior Floor Drain Toilet Exhaust Hood(Type I) 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 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 I am authorized by the owner of this property to perform the work for which application is made, and I c ply with the State Contractors Law 18.27 RCW and 296.200A WAC. A . „ City of Everett Official Use Only PER T# wnertAuthorized Agent Signature Date (Revised 10/10/2018) )02