3020 BROADWAY 2021-02-22 - Laserfiche WebLink

-, • PERMIT APPLICATION ELI BUILDING / MECHANICAL / PLUMBING / SIGN / SPRINKLER / DEMOLITION EVERETT CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT,WA 98201 WASHINGTON (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:3020 Broadway av PROPERTY TAX#: LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION -- OWNER NAME: Everett Housing Authority TENANT BUSINESS NAME(Commercial): OWNER MAILING ADDRESS: STREET CITY STATE ZIP — OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME:Airpros Energy LLC — CONTRACTOR ADDRESS: STREET23502 35th av w CITY Brier STATE wa ZIP 98036 CONTRACTOR PHONE:425-446-1731 CONTRACTOR EMAIL:info@airprosenergy.com CONTRACTOR LICENSE#(REQUIRED):AIRPREL9O9D3 CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 1 6.6 l PRIMARY CONTACT: El OWNER ❑ CONTRACTOR ❑OTHER (Please Specify) CONTACT NAME: CONTACT PHONE:425-293-5613 '1 / ti-% - 0(16LLi, RANDY HELTNE (EHA) CONTACT EMAIL: RANDYH@EVHA.ORG BUILDING INFORMATION Existing Use of Building: i Contract Price of Work: $ >SS Proposed Use of Building: Heat Source: ❑Gas ❑Electric ❑Other / � BUILDING USE: ❑SFR 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: T� +-cle 6 f- i s 1 l O-2 Roo--c \AJ " Q.3 ew a-4,3 E ASSOCIATED BUILDING PERMIT#(if applicable): — MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION Fixture Fixture Fixture Fixture Count List of Fixtures Count List of Fixtures Count List of Fixtures Count List of Fixtures 1 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 1 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:1 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 State Contractors Law 18.27 RCW and 296.200A WAC. City of Everett Official Use Only Lem_ c.r C `, PERMIT ( 0 - C3' ) Owner/Authorized Agent Signature Date (Revised 10/10/2018) 1 /2-