2204 12TH ST 2020-08-28 - Laserfiche WebLink

414-77- PERMIT APPLICATION BUILDING ..EECHANICAL I PLUMBING / SIGN / tINKLER / DEMOLITION CITY OF EVERETT PERMIT SERVICE 3200 CEDAR STREET, EVERETT,WA 98201 (P)425-257-8810 1 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: 2204 12th St PROPERTY TAX#: LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: EVERETT PLAZA ASSITED LIVING TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET CITY STATE ZIP OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME: ALPINE FIRE CONTRACTOR ADDRESS: STREET PO BOX 257 823COCITY BURLINGTON STATE WA ZIP 9823,37<- CONTRACTOR NTRACTOR PHONE: 360-755-5444 CONTRACTOR EMAIL: storel©alpinefire.com CONTRACTOR LICENSE#(REQUIRED): ALPINFSO77RP CITY OF EVERETT BUSINESS LICENSE ([J#(REQUIRED)r� U _ � I PRIMARY CONTACT: 0 OWNER pr CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 360-755-5444 NISHA CONTACT EMAIL: Store1 @alpinefire.com BUILDING PERMIT APPLICATION Existing Use of Building:ASSISTED LIVING Contract Price of Work: $ 3\QU Proposed Use of Building: NO CHANGE Heat Source: ❑Gas DElectric ❑Other Building Type: ❑SFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units: i2Commercial ❑Industrial Type of Project: VINew DAddition ❑Remodel DRepair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: NEW UL 300 FIRE SUPPRESSION SYSTEM TO BE INSTALLED IN EXISTING COMMERICAL KITCHEN HOOD ANS k SysTein 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 #of #of #of Fixtures List of Fixtures Fixtures List of Fixtures Fixtures List of Fixtures Fixtures List of 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/SUPPRESSION SYSTEM CACI\ Chemical or Water I lc;, 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.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. City of Everett Official Use Only t 2 L E PERM Owner • thorized Agent ignaIture Date (Revised 9/23/2016) 7