6000 23RD DR W TEAGUE 2021-02-23

•4677- 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 STAIL WA ZIP 98203 OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME PSF Mechanical, Inc. CONTRACTOR ADDRESS: STREET 11621 E Marginal Way S, Suite A CITY Seattle STATE WA ZIP 98 CONTRACTOR PHONE: 206-812-7683 ,CONTRACTOR EMAIL: permits@psfinech.com r CONTRACTOR LICENSE#(REQUIRED): PSFMEI*090NZ CITY OF EVERETT BUSINESS LICENSE#(REQUIRED):026337 PRIMARY CONTACT: 0 OWNER 0 CONTRACTOR ❑ OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 206-812-7683 Amanda Moore CONTACT EMAIL: permits@psfinech.corn BUILDING PERMIT APPLICATION Existing Use of Building: COMMERCIAL Contract Price of Work: $49,000 Proposed Use of Building: Heat Source: ❑Gas DElectric ❑Other Building Type: ❑SFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units: ZCommercial ❑Industrial Type of Project: ❑New ❑Addition Remodel ❑Repair ❑T.I. ❑Sign OSprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: Add grease interceptor 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& Oispesol - Grease Trap Gas Range Ducting Dishwasher Roof Drains Clothes Dryer Hookups Other: Clothes Washer Medical Gas Range Hood VRF system/od unit Water Heater t Other:Greease interceptor 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.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 RIM 12/19/2017 PET_# er/Authorized Agent gnature Date (Revised 9/23/2016) 1