6920 SEAWAY BLVD 2021-09-08 - Laserfiche WebLink

4rerr PERMIT APPLICATION BUILDINGSIECHANICA_L / PLUMBING / SIGN •RINKLER / 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 SITE ADDRESS: 6920 SEAWAY BLVD EVERETT,WA 98203 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 c 9bJ ,cD CITY EVERETT STATE WA ZIP 98203 OWNER PHONE: N/A OWNER EMAIL: N/A CONTRACTOR NAME: Reliance Fire Protection CONTRACTOR ADDRESS: STREET 8168 304th Ave SE, PO Box 428 CITY Preston STATE WA ZIP WA 98050 CONTRACTOR PHONE: 206-682-6636 CONTRACTOR EMAIL: Oleg@reliancefire.com CONTRACTOR LICENSE#(REQUIRED): RELIAFP102L1 CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 31095 PRIMARY CONTACT: LI OWNER 0 CONTRACTOR ❑ OTHER(Please Specify) CONTACT NAME: Oleg Sergeev CONTACT PHONE: 206-682-6636 CONTACT EMAIL: Oleg©reliancefire.com BUILDING PERMIT APPLICATION` Existing Use of Building: Contract Price of Work: $ )tOs 'It Proposed Use of Building: Heat Source: ❑Ga- Electric DOther Building Type: ❑SFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units: ❑Commercial El Industrial Type of Project: ❑New ❑Addition ❑Remodel El Repair ❑T.I. ❑Sign Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: A*Re LOCALE 1-0 Vkeeo S - Sod 0 Gw JI to )C)A-' ,e-s.0 ---4-\_____Sz-f-ts,1/4e--e--- ic--- (2_, 2 • 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 #of #of #of Fixtures List of Fixtures Fixtures List of Fixtures Fixtures List of Fixtures Fixtures List of 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 Water Heater Other: Exhaust Fan / Sink(Service/Bar/Mop/etc.) Other: 7 /!, SPRINKLER/ SUPPRESSION SYSTEM W Chemical or Water I 20 No. of Heads ACKNOWLEDGEMENT:1 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 EEvverett Official Use Only Owner/AuthorizedA ....._ r., r,_\ Signature Date (Revised 9/23/2016)