1520 75TH ST SW ELECTRONETICS 2020-02-25

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 PROJECT SITE ADDRESS:1520 75th Street SW PROPERTY TAX#: LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: TENANT BUSINESS NAME(Commercial): ELECTRONETICS OWNER MAILING ADDRESS: STREET1520 75TH ST SW cnY EVERETT STATE WA ZIP 98203 OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME:EYLANDER SAKES & SERVICE CONTRACTOR ADDRESS: STREET3601 EVERETT AVE CITY EVERETT. STATE WA ZIP 98201 CONTRACTOR PHONE:425.259.2161 CONTRACTOR EMAIL: CONTRACTOR LICENSE#(REQUIRED):EYLANSSO42K2 CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 016363 PRIMARY CONTACT: 0 OWNER 0 CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:425.231.2275 OTHER CORNY me 2 CONTACT EMAIL:jceylander@yahoo.com BUILDING INFORMATION Existing Use of Building: A34444 020.1 Contract Price of Work:$500 Proposed Use of Building: Heat Source: ElGas ❑Electric DOther BUILDING USE: OSFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: 410 ommercial ElAccessory Structure Type of Project: ❑New ❑Addition (✓Remodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler t( emolition ElChange of Use DESCRIPTION OF WORK: DEMOLITION OF EXISTING GAS OVENS AND CAPPING THE INCOMING GAS LINE ASS.. TED BU DI PERMIT#(if applicable): MECHANIC 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 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) 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. 6 4", , Medical Gas Water Valves or Fixtures Gas Fireplace/Insert/Log Roof Drains Water Heater SPRINKLER/SUPPRESSION SYSTEMSewage 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.lam the owner,or 1 am authorized by the owner of this property to perform the work for which application is made, and I comply wit th State Contractors Law 18.27 RCW and 296.200A WAC. City of Everett Official Use Only 1 PERMIT_ _ „ n Owner riz d Agent Signature Dat (Revis�eld�`110//10/2018)