7505 SEAWAY BLVD BUS SHELTER 8 2021-06-10

PERMIT APPLICATI011i Shelter#8 BUILDIN 'MECHANICAL / PLUMBING / SIGN TSPRINKLER/ DEMOLITION--— j°=v---> 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 st..k.ficr_z_:ALL PROPERTY TAX#:28041 1 001 00700 LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) C&VIA IAA uK, ,' `�gtin,4 j- CONTACT INFORMATION OWNER NAME: 1 1t ml TENANT BUSINESS NAMEr (Commercial): OWNER MAILING ADDRESS: STREET 7 "7 190 4I- IZ..[Jrx,P q�� CITY Everett STATE WA 9 ZIP pttPY- f ze5 OWNER PHONE:.4 43 1.-frZS'- 3'-d,p- 2,3 O2 OWNER EMAIL: davt (e rv-14,e CAfew,ipti"l`irp ns, ®Y'� 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: 0 OWNER 0 CONTRACTOR El OTHER(Please Specify) Applicant CONTACT NAME: CONTACT PHONE:425 438-7100 Dan Jerome, Community Transit CONTACT EMAIL:dan.jerome@commtrans.org V 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: OCommercial ❑Accessory Structure Type of Project: ❑v New ❑Addition ❑Remodel ❑Repair ❑T.I. ❑Sign OSprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: Construct a bus shelter with seating, wind screen and information kiosk. 1�1�� ✓ �� ASSOCIATED BUILDING PERMIT#(if applicably �<� 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 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/ 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. eQCity of Everett Official Use Only '7 !l ��ZD/�' PER \ \� 0 (.40 Owne Aut owe ge Igna re ' Dat (Revised 10/10/2018)