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6133 LAKE CHAPLAIN RD 2020-03-09
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6133 LAKE CHAPLAIN RD 2020-03-09
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3/9/2020 10:07:49 AM
Creation date
3/9/2020 10:05:53 AM
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Address Document
Street Name
LAKE CHAPLAIN RD
Street Number
6133
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PERMIT APPLICATIC <br /> Oren. BUILDING/MECHANICAL/ PLUMBING/SIGN /SPRINKLER/ DEMOLITION <br /> 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 1 www.everettwa.gov/permits <br /> PROJECTSITE INFORMATIOI�I <br /> PROJECT SITE ADDRESS: PROPERTY TAX#: 28080600100100 <br /> 6133 Lake Chaplain Rd, Monroe WA <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> ., s CONTACT INFORMATION <br /> OWNER NAME: City of Everett TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: STREET 3200 Cedar St <br /> ciry Everett STATE WA zip 98201 <br /> OWNER PHONE: 425-257-8800 OWNER EMAIL: rhefti@everettwa.gov <br /> CONTRACTOR NAME: SSB (sY'ilg6o <br /> CONTRACTOR ADDRESS: STREET I t/1 MO clot. r #. 4G- <br /> CITY STATE tor-v ` ' ZIP amt), <br /> CONTRACTOR PHONE: C-2 `6 S-02:b 11 CONTRACTOR EMAIL: <br /> CONTRACTOR LICENSE#(REQUIRED):hIl'4�l \��l� 0� CITY OF EVERETT BUSINESS LICENSE#(REQUIRED):t6((VV-7 <br /> PRIMARY CONTACT: in OWNER 0 CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: Richard Hefti CONTACT PHONE: (425)257-7215 <br /> CONTACT EMAIL: rhefti@everettwa.gov <br /> BUILDING PERMIT APPLI,CATIO,N <br /> Existing Use of Building: WFP Operations Contract Price of Work:$ 800,000 <br /> Proposed Use of Building: WFP Operations Heat Source: ❑Gas ®Electric ❑Other <br /> Building Type: ❑SFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units: ❑Commercial ®Industrial <br /> Type of Project: ❑New ❑Addition ®Remodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler El Demolition ❑Change of Use <br /> DESCRIPTION OF WORK:Provide voluntary seismic strengthening of slabs,anchoring of walls and equipment,and flexible pipe connections to <br /> improve likelihood that Operations Building will remain operational during and after a seismic event. See SCOPE on <br /> drawing G-002 for additional information. <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 of Fixtures <br /> Fixtures Fixtures Fixtures Fixtures <br /> NC—Air Handling Units Heat Pump Toilet Backflow Preventer(Inside Bldg) <br /> Forced Air Systems Unit Heater _ ___ Bathtub Urinal <br /> Gas Piping Boiler Lavatory(Wash Basin) Drinking 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 Hookups Other: Clothes Washer Medical Gas <br /> Range Hood Water Heater Other: <br /> Exhaust Fan Sink(Service/Bar/Mop/etc.) Other: <br /> SPRINKLER/SUPPRESSION SYSTEM <br /> Number 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.lam the owner,or I am 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 /> PERMIT#A <br /> Jan 12,2016 .16/®/ ( Li <br /> Owner/Authorized Agent Signature Date (Revised 10/12/2015) <br />
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