6920 SEAWAY BLVD 2021-09-08 - Laserfiche WebLink

grr PERMIT APPLICATIOVI BUILDINSIPMECHANICAL/ PLUMBING /SIGN 7STPRINKLER/ DEMOLITION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET,EVERETT,WA 98201 (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 SITEADDRESS:6920 Seaway Blvd, WA 98203 (POD 2G) PROPERTY TAX#: 0174466 LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: UN I SPACE TENANT NAME(If Commercial): FLUKE OWNER MAILING ADDRESS: STREET 701 5th Ave Suite 6730 cnv Seattle STATE WA ZIP 98104 OWNER PHONE: (2 0 6) 7 7 0-7 0 0 0 OWNER EMAIL: CONTRACTOR NAME: Pacific Air Control CONTRACTOR ADDRESS: STREET 1916 2 2 0 t h St Ste . M 101 crry Bothell STATE WA ZIP 98021 CONTRACTOR PHONE: 206-396-0182 CONTRACTOR EMAIL: davidd@pacificaircontrol . com CONTRACTOR LICENSE#(REQUIRED): PAC I FAC 2 3 0 P 8 CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 11347 PRIMARY CONTACT: 0 OWNER EI CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 2 0 6-3 9 6-018 2 David Denisiuk CONTACT EMAIL: davidd@pacificaircontrol . com BUILDING PERMIT APPLICATION Existing Use of Building: Contract Price of Work:$ I Soo Proposed Use of Building: o it.f— Heat Source: ❑Gas ❑Electric DOther Building Type: ❑SFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units: ($)Commercial ❑Industrial Type of Project: ❑New ❑Addition ❑Remodel ❑Repair tg1T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: te,14X24 (47 5` d 1 ► l u-$et'5 /�5r+lies. ne4ettc/ ditChtiork C ct ka) -175 hew 0 F.Rcez (z' wkere- heJebSz-ky. ASSOCIATED BUILDING PERMIT#(if applicable): MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION Type of Project: _New _ Addn X Alteration _Repair Type of Project: _New _Addn _Alteration _Repair #of List of Fixtures #of List of Fixtures #of List of Fixtures #of List of Fixtures Fixtures Fixtures Fixtures Fixtures A/C—Air Handling Units Heat Pump Toilet Backflow Preventer(Inside Bldg) Forced Air Systems Unit Heater Bathtub Urinal Gas Piping Boiler Lavatory(Wash Basin) Drinking Fountain Water Heater Refrigeration Shower Floor Drain Gas Fireplace Wood Stove Kitchen Sink&Disposal Grease Trap Gas Range Ducting Dishwasher Roof Drains _Clothes Dryer Hookups Other: Clothes Washer Medical Gas Range Hood 75 D i f f/G r i l l Water Heater Other: Exhaust Fan Sink(Service/Bar/Mop/etc.) Other: SPRINKLER/SUPPRESSION SYSTEM Chemical or Water I INo.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.lam 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 — • PVT(t.„4 „ 6/21/19 Y v � 0(0 — 0q-0 Owner/Authorized Agent Signature Date (Revised 9/23/2016)