3105 PINE ST DELTA HOTEL 2020-05-04

PERMIT APPLICATION. BUILDING ECHANICAL / PLUMBING /SIGN r-II RINKLER/ DEMOLITION r CITY OF EVERETT PERMIT SERVICES "444r 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: 3\OS Q+\Q,. -s-k. ,. PROPERTY TAX#: LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: {-)\`Ckq\d( \Y\V eskxv\ju,,L S TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET )1I01 .1 . C Ovy\{yvz(CGtQ SA - - i\c, crrY ?.-- e.1\.\r\ STATE L4)...pt ZIP 1E Z25 OWNER PHONE: f:: IOWNER EMAIL: 3(P()' ( -(7- l01 l CONTRACTOR NAME: LA.,)e c.f.i..),IA c -gyp i .1 ---i./.(_ pro t A--‘i a 1fk_ . CONTRACTOR ADDRESS: STREET )Lit 9 V 1E, 6K - CITY f Pd vv1.6 nt^i STATE( j 4 ZIP 9 X Q s a 2 CONTRACTOR PHONE: V�- Tt�, 7 ) - 4(3 CONTRACTOR EMAIL: ,eYY).t }q . Car is-QIAP WS'-Ip,U CONTRACTOR LICENSE#(REQUIRED): LILTSTE,S"'1360LF• CITY OF EVERETT B SINESS LICENSE#(REQUIRED):2066`5 PRIMARY CONTACT: 0 OWNER *CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 'Z,b(O _ -1-1) gag c" c . ( / CONTACT EMAIL: ..1a` 6 C 1 ,Y\ O. . .O BUILDING PERMIT APPLICATION Existing Use of Building: \--} e_A Contract Price of Work: $ I g, (X)O Proposed Use of Building: ,-bet.ei.- Heat Source: ❑Gas ❑Electric ❑Other Building Type: ❑SFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units: ❑Commercial ❑Industrial Type of Project: ONew ❑Addition ❑Remodel ❑Repair ❑T.I. ❑Sign AFibprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: t (NS`t 'flOQr Cov'ra L vektve s - - f oci S 3_-7 ASSOCIATED BUILDING PERMIT#(if applicable): 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&DisposalTrap . s �1a''4[1::-; Gas Range Ducting Dishwasher R fg�rains Clothes Dryer Hookups Other: Clothes Washer L. decal Gas Range Hood Water Heater otter: MKT 1 0 2018 Exhaust Fan Sink(Service/Bar/Mop/etc.) r: SPRINKLER/'SUPPRESSION SYSTEM CITY OF EVERET —t5 - Number of Heads ! ACKNOWLEDGEMENT:I have reviewed this application and confirm the information contained herein is true and corroet Work done pursuant to this permit rnust comply with current federal,state,and local law. The granting of a permit only authorizes approved work and no deviations therefrom. Dei,iations 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 ter:s 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. City of Everett Official Use Only PERK# Rwrste Owner/Authorized Agent Signature7 Date (Revised 9/23/2016) Signature?