Laserfiche WebLink
PERMIT APPLICATION • <br /> BUILDING / MECHANICAL/ PLUMBING / SIGN / SPRINKLER/ DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> (P)425-257-8810 1 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: 3000 ROCI(@fell@l Ave PROPERTY TAX#: 00439171600000 <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME: Snohomish County Property Management TENANT NAME(If Commercial): Snohomish Courthouse <br /> OWNER MAILING ADDRESS: STREET 3000 Rockefeller Ave m/s 404 <br /> CITY Everett STArE WA zip 98201 <br /> OWNER PHONE: 2062504530 OWNER EMAIL: connieh@holadayparks.com <br /> CONTRACTOR NAME: Holaday Parks <br /> CONTRACTOR ADDRESS: STREET 4600 S 134th PI <br /> CITY Seattle STATE WA zip 98168 <br /> CONTRACTOR PHONE: 2062504530 CONTRACTOR EMAIL: connieh@)holadayparks.com <br /> CONTRACTOR LICENSE#(REQUIRED): HOLADPI379N0 CITY OF EVERETT BUSINESS LICENSE#(REQUIRED):12653 <br /> PRIMARY CONTACT: ❑ OWNER 0 CONTRACTOR ❑ OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 2062504530 <br /> Connie Hardin CONTACT EMAIL: connieh@holadayparks.com <br /> BUILDING PERMIT APPLICATION <br /> Existing Use of Building: Contract Price of Work: $ ; <br /> Proposed Use of Building: 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 ❑Demolition []Change of Use <br /> DESCRIPTION OF WORK: �=rn6�h ANO ("C\'� �E Z OLJJ C1Jtl,l t�Rs VVITY4 'Z, /VOW CNI lL(,,,'�-�Cj <br /> (V,001� PIPIT'JG Pr`, NSC->Fj��O, (L�-tl�i�� IZC-('r.!}c�= MG-ClB Coc)rn C-20NQ5 F:,AN, moa y <br /> 00cl (p�: (slJ10IrN5. i,0aTAL-i- 2tir M0rJr�-%3rL1Al6 5-rA VA-\W 0-4 SNL- 00Wr+/ <br /> ASSOCIATED BUILDING PERMIT#(if applicable): r—E7/fTrL)�-5, <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type of Project: _New Addn Alteration _Repair Type of Project: _New _Addn _Alteration _Repair <br /> #of #of #of #of <br /> List of Fixtures List of Fixtures List of Fixtures List of Fixtures <br /> Fixtures Fixtures Fixtures Fixtures <br /> A/C-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 2 CHILLER REPLACEMENTS Water Heater Other: <br /> I Exhaust Fan Sink(Service/Bar/Mop/etc.) Other: <br /> SPRINKLER/ SUPPRESSION SYSTEM :�T <br /> Number of Heads I [ I I I <br /> ACKNOWLEDGEMENT./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 I am authorized by the owner of this property to perform the work for which application is made, <br /> and I cc ply with the State Con ctors Law 18.27 RCW and 296.200A WAC. <br /> \ City of Everett Official Use Only <br /> J� PERMIT# <br /> Ownerl rize nt ature Date (Revised 9/23/2016) <br /> I� <br />