6920 SEAWAY BLVD 2021-09-08 - Laserfiche WebLink

• PERMIT APPLICATION BUILDING / MECHANICAL / PLUMBING / SIGN / SPRINKLER / DEMOLITION CITY OF EVERETT PERMIT SERVICES y 3200 CEDAR STREET,EVERETT,WA 98201 (P)425-257-8810 l FAX 425-257-8857 l(E)everetteps@everettwa.gov l www.everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: 6920 SEAWAY BLVD PROPERTY TAX#: 28041100200500 LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: FLUKE TENANT NAME(If Commercial): FLUKE OWNER MAILING ADDRESS: STREET 6920 SEAWAY BLVD CITY EVERETT STATE WA ZIP 98203 OWNER PHONE: 425-347-6100 OWNER EMAIL: JAMES.GRACEY@UNISPACE.COM CONTRACTOR NAME; GS MECHANICAL CONTRACTOR ADDRESS: STREET PO Box 65 cm, REDMOND STATE WA ZIP 98073 CONTRACTOR PHONE: 206-372-0332 CONTRACTOR EMAIL: greg@gsmechanicalshop.com CONTRACTOR LICENSE#(REQUIRED): GSMECML928RK CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 047137 PRIMARY CONTACT: 0 OWNER ZI CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 206-372-0332 GREG SMALLING CONTACT EMAIL: greg@gsmechanicalshop.com BUILDING PERMIT APPLICATION Existing Use of Building: Contract Price of Work: $3 000 Proposed Use of Building: Heat Source: ❑Gas EElectric ❑Other Building Type: ❑SFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units: RCommercial ❑Industrial Type of Project: ENew ❑Addition ❑Remodel ORepair [NT] ESign ❑Sprinkler ODemolition ❑Change of Use DESCRIPTION OF WORK: ROUGH IN & INSTALL OF BOTTLE FILLER ASSOCIATED BUILDING PERMIT#(if applicable): MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION Type of Project: _New Addn 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 NC—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 Water Heater 1 Other: BOTTLE FILLER Exhaust Fan Sink(Service/Bar/Mop/etc.) Other: SPRINKLER 1 SUPPRESSION SYSTEM Number 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 -- . ..... 6.21.19 PERMI ° `p,V I �J Owner/Authorized Agent Signature Date (Revised 9/23/2016)