2121 MCDOUGALL AVE 2020-12-31 - Laserfiche WebLink

MIMI • PERMIT APPLICATION • IMII BUILDING / MECHANICAL / PLUMBING / SIGN / SPRINKLER / DEMOLITION EVERETT CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT,WA 98201 WASHINGTON (P)425-257-8810 1 FAX 425-257-8857 1 (E)everetteps@everettwa.gov I www.everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS:2121 McDougall Ave, Everett, WA 98201 PROPERTY TAX#:00401544101100 LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: TENANT BUSINESS NAME(Commercial): OWNER MAILING ADDRESS: STREET2121 McDougall Ave CITY Everett STATE WA ZIP 98201 OWNER PHONE: 253-905-1814 OWNER EMAIL:Calews@comcast.net CONTRACTOR NAME:Seismic Northwest CONTRACTOR ADDRESS: STREET9817 Shoreland Dr SE Bellevue WA 98004 CITY STATE ZIP CONTRACTOR PHONE:206-257-1133 CONTRACTOR EMAIL:seismicnorthwest@gmail.com CONTRACTOR LICENSE#(REQUIRED):SEISMNL840CJ CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 25-257-8610 PRIMARY CONTACT: ❑OWNER 0 CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:206-257-1133 Rocky Adams CONTACT EMAIL:SeismicnorthWeSt@gmall.com BUILDING INFORMATION Existing Use of Building: Contract Price of Work: $6000 Proposed Use of Building: Heat Source: ❑Gas ❑Electric Other BUILDING USE: OSFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: Commercial Accessory Structure Type of Project: ❑New ❑Addition ❑✓Remodel ❑Repair ❑T.I. Sign Sprinkler ❑Demolition Change of Use DESCRIPTION OF WORK: Voluntary Seismic Retrofit ASSOCIATED BUILDING PERMIT#(if applicable): MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION Fixture Fixture Fixture List of Fixtures Fixture Count Count List of Fixtures Count List of Fixtures List of Fixtures Count A/C—Air Handling Units Gas Piping Backflow Preventer(Inside Bldg) Shower,Tub,or Combo Boiler Gas Range Clothes Washer Sink-Commercial(3-comp,prep,floor) Clothes Dryer Heat Pump&Ductless Dishwasher Sink-Residential(kitchen,bath,bar) Duct System(Remodel) Refrigeration Drinking Fountain Sink-Utility,laundry,mop Exhaust Fans(Residential) Commercial Ventilation Floor Drain Toilet Exhaust Hood(Type I) (Not Heat/AC system) Hose Bibb Urinal Exhaust Hood(Type II) Water Heater Interceptor-Grease Waste/Water Piping Repair Exhaust Hood(Residential) Wood Stove Interceptor-Sand/Oil Water Service(behind meter) Forced Air Systems Other: Medical Gas Water Valves or Fixtures Gas Fireplace/Insert/Log Roof Drains Water Heater SPRINKLER/SUPPRESSION SYSTEM Sewage Ejector or Sump Pump Other: Water Suppression System No.of Heads Chemical Suppression System '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 PERMIT#, kite. e 'L 4/14/2020 )")/,;QL� - 0-2_o Owner/Authorized Agent Signature Date (Revised 10 10 018) 1 I 2,,