6000 23RD DR W TEAGUE 2021-02-23

• 4rETT PERMIT APPLICATION BUILDING / MECHANICAL / PLUMBING / SIGN / SPRINKLER/ DEMOLITION 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: 6000 23rd Dr W PROPERTY TAX#: 28040200301800 LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: Nicholson Machine & Technology Corn Corp TENANT NAME(If Commercial): Teague/Boeing OWNER MAILING ADDRESS: STREET 6000 23rd Dr W cm Everett STATE WA ZIP 98203 OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME: PSF Mechanical, Inc. CONTRACTOR ADDRESS: STREET 11621 E Marginal Way S, Suite A crry Seattle STATE WA ZIP 98168 CONTRACTOR PHONE: 206-812-7683 CONTRACTOR EMAIL: permits@psfmech.com CONTRACTOR LICENSE#(REQUIRED): PSFMEI*090NZ CITY OF EVERETT BUSINESS LICENSE#(REQUIRED)`026337 PRIMARY CONTACT: ❑OWNER El CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 206-812-7683 Amanda Moore CONTACT EMAIL: permits@psfmech.com BUILDING PERMIT APPLICATION Existing Use of Building: COMMERCIAL Contract Price of Work:$49,000 Proposed Use of Building: Heat Source: ❑Gas ❑Electric ❑Other Building Type: ❑SFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units: OCommercial ❑Industrial Type of Project: ❑New ❑Addition ORemodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: Mechanical: Relocate existing hot water heater. Plumbing: Relocate existing plumbing fixtures. Add (2) men's urinals, (2) floor sinks, (1) break room sink, (1) dishwasher 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 5 Toilet 1 Backflow Preventer(Inside Bldg) Forced Air Systems Unit Heater Bathtub 3 Urinal Gas Piping Boiler 7 Lavatory(Wash Basin) Drinking Fountain 1 Water Heater Refrigeration Shower 4 Floor Drain Gas Fireplace Wood Stove t Kitchen Sink&Disp000l - Grease Trap Gas Range Ducting 1 Dishwasher Roof Drains Clothes Dryer Hookups Other: Clothes Washer Medical Gas Range Hood VRF system/od unit Water Heater Other: Exhaust Fan Heat recovery unit Sink(Service/Bar/Mop/etc.) Other: SPRINKLER/SUPPRESSION SYSTEM 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.1 am the owner,or/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 z1 11/09/2017 PER IT(f4 ner/Authorized Agent Signature Date ( evise 9/23/2016)