7505 SEAWAY BLVD BUS SHELTER 9 2021-07-20

PERMIT APPLICATIO Shelter#9 BUILDINGIOLECHANICAL/ PLUMBING/SIGNRINKLER/ 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 11 L 44F Ok PROPERTY TAX#:28041 1 001 00700 LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) 60/..1 d)r�9 772s ducer CONTACT INFORMATION OWNER NAME: TENANT BUSINESS NAME(Commercial): OWNER MAILING ADDRESS: STREET PO BOX 1107 cir( Everett STATE WA ZIP 'qq-2,?� OWNER PHONE: 42-7©3-43 cnc 3wS Z;it OWNER EMAIL: DEMJ...l62oM$g49",1RArv's. 024 CONTRACTOR NAME:Dana Orbe,Vice President, Interwest Construction Inc. CONTRACTOR ADDRESS: STREET 609 North Hill Boulevard L.ITn. Burlington STATE WA ZIP 98233 CONTRACTOR PHONE:360-661-7159 CONTRACTOR EMAIL:danaorbe@interwest.biz CONTRACTOR LICENSE#(REQUIRED):INTERCI121 OF CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 36377 PRIMARY CONTACT: ❑OWNER 0 CONTRACTOR O 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: OCommercial ❑Accessory Structure Type of Project: ONew DAddition ❑Remodel ❑Repair ❑T.I. ❑Sign OSprinkler ODemolition OChange of Use DESCRIPTION OF WORK: Construct a bus shelter with seating,wind screen and information kiosk. ASSOCIATED BUILDING PERMIT#(if applicable): ru. ctO s �crZ ,ir-i J 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 PERMI zZ� kg 1-1 Ow r/Authori ge ignatur Date (Revised 10/10/2018) ( /