3105 PINE ST DELTA HOTEL 2020-05-04

' I PERMIT APPLICATI�I II BUILDING i MECHANICAL/ PLUMBING / SIGNTSPRINKLER / DEMOLITION iga 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: 1 QS 1 n _ PROPERTY TAX#: OQi-810-1S S ago 10Q LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) �y CONTACT INFORMATION OWNER NAME: C A°e_ S4-i-t "� tD R k-}-c Kt-1/4-a t.t.C TENANT NAME(If Commercial): Deiv.k '2I5 by ('Y'ria' OWNER MAILING ADDRESS: STREET V\ (161/1A. y c 6.Q1 %.k. - oni' ' 's>.e_`V1 f ��n/k STATE LZ pr 2:2,5ZIP $25 OWNER PHONE: J\ OWNER EMAIL: CONTRACTOR NAME: 1ec-s0 A Se c."‘ .e_ ?cue\ c}cv,yr\ Co - CONTRACTOR ADDRESS: STREET 1,--164\V Nye. T . ...,...\__ _ cnY K--f!aMay\.� STATE ujA , ZIP 165g, CONTRACTOR PHONE: 2.0(6''(1 l - -213 CONTRACTOR EMAIL: -em 1\\( . co,f- IScJ,n P WS-F . US CONTRACTOR LICENSE#(REQUIRED): WEST t-SF k3 to Qc CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 20553 PRIMARY CONTACT: 0 OWNER XCONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: '_a(o_'7-1 1 _ L!G_ {- el k1,\k Ccm-\SoN CONTACT EMAIL: err t`r. Cc c\Som @ WS-�P • us BUILDING PERMIT APPLICATION Existing Use of Building: I1C-e..A Contract Price of Work: $ Proposed Use of Building: ,- - Heat Source: diGas ®Electric ❑Other Building Type: ❑SFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units: Commercial ❑Industrial Type of Project: ❑New ❑Addition ❑Remodel ❑Repair XT.!. ❑Sign ❑Sprinnkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: /�10cGs...6 r2kOc.a.-\--e SQC�"tLisS eri"s( W -\---vi\o, -t- u...)oat e„s\a Ce t�i.cvo) c0�.c`5vcv&-t,v setS , Cha.v\c 2x; -1;(-, 5-}-o,, 00--8 c-e S csr%e sc`tvn.k.t.4.i. .'o ASSOCIATED BUILDING PERMIT#(if applicable): See, G SD is I&!k d i 6 MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION Type of Project: _New Addn Alteration Repair Type of Project: _New _Addn Alteration _Repair #of List of Fixtures #of List of Fixtures #of List of Fixtures #of List of Fixtures Fixtures Fixtures Fixtures Fixtures A/C-Air Handling Units Heat Pump Toilet Backflow Preventer(Inside Bldg) Forced Air Systems Unit Heater Bathtub Urinal Gas Piping Boiler Lavatory(Wash Basin) Drinking Fountain Water Heater Refrigeration Shower Floor Drain Gas Fireplace Wood Stove Kitchen Sink&Disposal Grease Trap Gas Range Ducting Dishwasher Roof Drains Clothes Dryer Hookups Other: Clothes Washer Medical Gas Range Hood Water Heater Other: Exhaust Fan Sink(Service/Bar/Mop/etc.) Other: SPRINKLER I SUPPRESSION SYSTEM 1y(0 Number 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 comply with the State Contractors Law 18.27 RCW and 296.200A WAC. 11 I City of Everett Official Use Only gill 117 PERMITI� � � � �s �� r, 1j Owner/Auth ed Agent Signature' Date (Revised 9/23/2016)