3016 NASSAU ST 2021-06-10 - Laserfiche WebLink

PERMIT APPLICATION 4m- 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 (Bla*or Black Ink Only Plano) PROJECT SITE INFORMATION PROJECT SITE ADDRESS:3016 Nassau St. PROPERTY TAX#:00437572302400 LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: Brian Adams TENANT BUSINESS NAME(Commercial): OWNER MAILING ADDRESS: sTREET3016 Nassau St. cry Everett STATE WA ZIP 98201 OWNER PHONE: 206-396-5163 OWNER EMAIL:Boatman007@gmail.com CONTRACTOR NAME:Mark Coe- McBride Construction Resources CONTRACTOR ADDRESS: STREET 15100 8TH AVE SW [Ty BURIEN STATE WA ZIP 98166 CONTRACTOR PHONE:206-235-1672 CONTRACTOR EMAIL:markc@mcbrideconstruction.com CONTRACTOR LICENSE#(REQUIRED):MCBRICR099JZ CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): PRIMARY CONTACT: ❑OWNER 0 CONTRACTOR 0 OTHER(Please Specify) Owner's Agent CONTACT NAME: CONTACT PHONE:206-281-7500 Chris Bacus - Pacific Engineering Tech. CONTACT EMAIL:cbacus@pacengtech.com BUILDING INFORMATION Existing Use of Building:Single Family Residence Contract Price of Work: $ 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 LTA. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: Fire Damage Walkthrough 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 NC—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 Ventilatior 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 I 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 June 5,2019 1 I()w/oO Owner/Authorized Agent Signature Date (Revised 10/10/2018)