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2131 LAKE HEIGHTS DR 2021-09-07
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2131 LAKE HEIGHTS DR 2021-09-07
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Last modified
9/7/2021 4:17:15 PM
Creation date
8/26/2021 2:09:40 PM
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Address Document
Street Name
LAKE HEIGHTS DR
Street Number
2131
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0 PERMIT APPLICATION° <br /> 1112 <br /> BUILDING / MECHANICAL/ PLUMBING/SIGN /SPRINKLER/ DEMOLITION <br /> EVERETT CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET,EVERETT,WA 98201 <br /> WASHINGTON (P)425-257-8810 I FAX 425-257-8857 I(E)everetteps@everettwa.gov I www.everettwa.gov/permits <br /> (Blue or Black Ink Only Please) PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS:2131 Lake Heights Dr, Everett,WA 98208 PROPERTY TAX#:28052900205000 <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME: Bethany of the Northwest TENANT BUSINESS NAME(Commercial): <br /> OWNER MAILING ADDRESS: STREET 1902 120th Place SE,Suite 201 <br /> crry Everett STATE WA ZIP 98208 <br /> OWNER PHONE: (425)258-9174 OWNER EMAIL:TIMP@bethanynw.org <br /> CONTRACTOR NAME:Charter Construction <br /> CONTRACTOR ADDRESS: STREET 980 S Harney St <br /> CITY Seattle STATE WA ZIP 98108 <br /> CONTRACTOR PHONE: 206-402-9598 CONTRACTOR EMAIL:brett.peterson@chartercon.com ,d <br /> CONTRACTOR LICENSE#(REQUIRED):'CHARTCI171 PM CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 039909 <br /> PRIMARY CONTACT: 0 OWNER 0 CONTRACTOR ❑' OTHER(Please Specify) Architect <br /> CONTACT NAME: CONTACT PHONE:206-782-8208 ext 829 <br /> Suzanne Salandi CONTACT EMAIL:ssalandi@clark es.com <br /> BUILDING INFORMATION <br /> Existing Use of Building: 1-1/A-2 Contract Price of rk:$632,000.00 <br /> Proposed Use of Building: 1-1/A-2(NO CHANGE) Heat Source: ❑ as ❑Electric ❑ er <br /> BUILDING USE: ❑SFR ❑Townhouse ❑Duplex ❑ADU ❑✓Multi-Family-#Units:54 ❑Commercia ❑Accessory Structure <br /> Type of Project: ❑New ❑Addition ❑Remodel ❑Repair ❑✓T.I. ❑Sign ❑Sp 'nkler ❑Demoliti ❑Change of Use <br /> DESCRIPTION OF WORK: NEW 954 SF COMMERCIAL KITCHEN IN AN EXIST! TWO- RY TYPE V-A CONSTRUCTION, <br /> ASSISTED LIVING FACILITY.THE KITCHEN WILL BE REPLACING AN ALREADY ESTABLISHED COMMERCIAL KITCHEN. <br /> SCOPE INCLUDES MINOR SITE WORK&MODIFICATION TO EGRESS PATH. NO CHANGE TO (E)DWELLING UNITS. <br /> ASSOCIATED BUILDING PERMIT#(if applicable): DFMO PERMIT B2007-004 <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Fixture Fixture Fixture Fixture <br /> Count List of Fixtures count List of Fixtures Count List of Fixtures Count List of Fixtures <br /> A/C—Air Handling Units Gas Piping Backflow Preventer(Inside Bldg) Shower,Tub,or Combo <br /> Boiler Gas Range Clothes Washer Sink-Commercial(3-comp,prep,floor) <br /> Clothes Dryer Heat Pump&Ductless Dishwasher Sink-Residential(kitchen,bath,bar) <br /> Duct System(Remodel) Refrigeration Drinking Fountain Sink-Utility,laundry,mop <br /> Exhaust Fans(Residential) Commercial Ventilatior Floor Drain Toilet <br /> Exhaust Hood(Type I) (Not Heat/AC system) Hose Bibb Urinal <br /> Exhaust Hood(Type II) Water Heater Interceptor-Grease Waste/Water Piping Repair <br /> Exhaust Hood(Residential) Wood Stove Interceptor-Sand/Oil Water Service(behind meter) <br /> Forced Air Systems Other: Medical Gas Water Valves or Fixtures <br /> Gas Fireplace/Insert/Log Roof Drains Water Heater <br /> SPRINKLER/SUPPRESSION SYSTEM Sewage Ejector or Sump Pump Other: <br /> Water Suppression System No.of Heads <br /> Chemical Suppression System I No.of Heads <br /> 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 <br /> 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 <br /> 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, <br /> and I comply with the State Contractors Law 18.27 RCW and 296.200A WAC. <br /> City of Everett Official Use Only <br /> S SuaelZ. <br /> PERMIT (loos l 7 <br /> I 07/24/2020 <br /> Owner/Authorized nt Signature Date (Revised 10/10/2018) <br /> I JZ. <br />
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