7505 SEAWAY BLVD BUS SHELTER 2 2021-06-10

PERMIT APPLICATION, Shelter#2 BUILDINGOECHANICAL / 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:7505 Seaway Blvd S .Qt PROPERTY TAX#:28041100100700 LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) C4,1AA K (Y'Gdm S rr CONTACT INFORMATION OWNER NAME: K G ea st nager, Sno cw+sH-R JD TENANT BUSINESS NAME(Commercial): OWNER MAILING ADDRESS: STREET I3 7 7` IC.eret CITY Everett STATE WA ze 8 ee987Zm,5 OWNER PHONE: 425—3 —2 3 Z.-OWNER EMAIL: 1y,,r Craron ee 4A144 I r t&S,or'9 CONTRACTOR NAME:Dana Orbe,Vice President, Interwest Construction Inc. J CONTRACTOR ADDRESS: STREET 609 North Hill Boulevard CITY Burlington STATE WA ZIP 98233 CONTRACTOR PHONE:3.60-661-7159 CONTRACTOR EMAIL:danaorbe@interwest.biz CONTRACTOR LICENSE#(REQUIRED):INTERCI121 OF CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 36377 PRIMARY CONTACT: 0 OWNER 0 CONTRACTOR 0 OTHER(Please Specify) Applicant CONTACT NAME: CONTACT PHONE:425 438-7100 Dan Jerome, Community Transit CONTACT EMAIL:dan.jerome@commtrans.org BUILDING INFORMATION Existing Use of Building:N/A •Contract Price of Work: $200,950.31 Proposed Use of Building:Bus Shelter Heat Source: ❑Gas DElectric ❑Other BUILDING USE: ❑SFR ❑Townhouse ElDuplex ❑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: Construct a bus shelter with seating, wind screen, and information kiosk. VLL_S 1vLr�.J �fbTZkYS 4K 'C2- 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 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. gCit(y of Everett Official Use Only • /1i 17 PES4# 1 Ow /Aut zed Agen ' niat a Dat (Revised 10/10/2018)