6502 EVERGREEN WAY FIT BODY BOOT CAMP 2020-02-07

477PERMIT APPLICATIC 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 1(E)everetteps@everettwa.gov i www.everettwa.gov/permits (Blue or Black Ink Only Please); PROJECT SITE INFORMATION PROJECT SITE ADDRESS:6502 Evergreen Way PROPERTY TAX#: LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME:J,T. Madison Inc. TENANT BUSINESS NAME(Commercial):ESF TI OWNER MAILING ADDRESS: STREET PO Box 31609 cITY Seattle STA-h@IA ziw98203 OWNER PHONE:206-619-5555 OWNER EMAIL: CONTRACTOR NAME: State Mechanical CONTRACTOR ADDRESS: STREET 8706 South 222nd St. crry Kent STATWA ziP98031 CONTRACTOR PHONE:206-575-7527 CONTRACTOR EMAIL: micheile@statemech.net CONTRACTOR LICENSE#(REQUIRED):STATEMC141 C7 CITY OF EVERETT BUSINESS LICENSE#(REQUIRED):30329 PRIMARY CONTACT: 0 OWNER El CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME:Michelle Trumble CONTACT PHONE:206-575-7527 CONTACT EMAIL:michelle@statemech.net BUILDING INFORMATION Existing Use of Building: Contract Price of Work:$10,000.00 Proposed Use of Building:Commercial Heat Source: ❑Gas ®Electric ❑Other BUILDING USE: ❑SFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: LCommercial ❑Accessory Structure Type of Project: ❑New ❑Addition ❑Remodel ❑Repair lT.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK:To plum and install per code 2-water closets,2-lavatories, 1-mop sink, 1-bottle filler, 1-hot water heater and 1-floor drain. 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 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 2 Sink-Residential(kitchen,bath,bar) Duct System(Remodel) Refrigeration Drinking Fountain 1 Sink-Utility,laundry,mop Exhaust Fans(Residential) Commercial Ventilatior 1 Floor Drain 2 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 1 Water Heater SPRINKLER/SUPPRESSION SYSTEM Sewage Ejector or Sump Pump 1 Other:Bottle Filler 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 I am authorized by the owner of this properly 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 O`D UseeOnly PER \ 1 o '- S Owner/Authorized Agent Signature Date (Revised 10/10/2018)