7505 SEAWAY BLVD BUS SHELTER 6 2021-06-10

� PERMIT APPLICATION Shelter#6 0 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 l(E)everetteps@everettwa.gov I www.everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE � +-IINFORMATION PROJECT SITE ADDRESS:7505 Seaway Blvd 5 `,� `p PROPERTY TAX#:28041 1 001 00700 LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CD!'►N1dII1r, T2A&JSi7- CONTACT INFORMATION OWNER NAME: TENANT BUSINESS NAME(Commercial): OWNER MAILING ADDRESS: STREET PO BOX 110'7 100 1-41b2.DESd*! !Hite, CITY Everett STATE WA zip — 205 OWNER PHONE: - LI2S 2, /t 73i1. OWNER EMAIL: ,p4A/.JEsZoME geo"riT2A/S .OIZIl CONTRACTOR NAME:Dana Orbe,Vice President, Interwest Construction Inc. CONTRACTOR ADDRESS: STREET 609 North Hill Boulevard CITY Burlington STATE WA ZIP 98233 CONTRACTOR PHONE:360-661-7159 CONTRACTOR EMAIL:danaorbe@interwest.biz CONTRACTOR LICENSE#(REQUIRED):INTERC1121 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: $ 120,524.61 Proposed Use of Building:Bus Shelter 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.l. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: Construct a bus shelter with seating, wind screen and information kiosk. 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 VentilatiorL_ 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/InserULog 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.1 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. r — City of Everett Official Use Only ri ,____It9 Owonzed ent Ignature Da (Revised 10/10/2018) ,r