7505 SEAWAY BLVD BUS SHELTER 7 2021-06-10

PERMIT APPLICATIO Shelter#7 BUILDING'? ECHANICAL / PLUMBING / SIGN/RINKLER / 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 5L("'�" n L a2_ PROPERTY TAX#:28041 1 001 00700 LEGAL for new construction: Short Plat/subdivision � Lot No. (attach copy of long legal description) Ate.Wi LA.Krt `Ci-a„v^s;r CONTACT INFORMATION OWNER NAME: 4ellY IylcAi D TENANT BUSINESS NAME(Commercial): OWNER MAILING ADDRESS: STREET P@ [}QX*107 t CITY Everett STATE WA zip i g 2_ 3 OWNER PHONE: 47G!"- —2-4IZOWNER EMAIL: ete ve. CONTRACTOR NAME:Dana Orbe,Vice President, Interwest Construction Inc. `J CONTRACTOR ADDRESS: sTREET609 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: ❑OWNER ❑ CONTRACTOR D OTHER(Please Specify) Applicant CONTACT NAME: CONTACT PHONE:425-438 7100 Dan Jerome, Community Transit CONTACT EMAIL:dan.jerome@commtrans.org t/ BUILDING INFORMATION Existing Use of Building:N/A Contract Price of Work: $ 120,524.61 Proposed Use of Building:Bus Shelter Heat Source: ❑Gas DElectric DOther BUILDING USE: ❑SFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: ❑Commercial ❑Accessory Structure Type of Project: New DAddition ❑Remodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler ODemolition ❑Change of Use DESCRIPTION OF WORK: Construct a bus shelter with seating, wind screen and information kiosk. n 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. City of Everett Official Use Only 03S 0 - uthorize� gen Signature Date (Revised 10/10/2018