1803 112TH ST SE BANK OF AMERICA 2021-11-08

• • MI PERMIT APPLICATION MI BUILDING/MECHANICAL/ PLUMBING/SIGN/SPRINKLER/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:1803 112th S.E. PROPERTY TAX#: LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: LAURA FABRIZIO TENANT BUSINESS NAME(Commercial): OWNER MAILING ADDRESS: STREET200 E RANDOLPH ciN CHICAGO STATE GA zip 60601 OWNER PHONE: 5089226845 OWNER EMAIL:LAURA.FABRIZIO@AM.JLL.COM CONTRACTOR NAME:Lin R Rogers Electrical Contractors CONTRACTOR ADDRESS: sTREET2050 Marconi Drive crry Alpharetta STATE GA zip 30005 CONTRACTOR PHONE:7707723442 CONTRACTOR EMAIL:LICENSE@LROGERSELECTRIC.COM CONTRACTOR LICENSE#(REQUIRED): Cc LI(V QV-(2,9, 9569)I CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 51310 PRIMARY CONTACT: ❑OWNER 0 CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:7707723442 KIKI BATTLE CONTACT EMAIL:LICENSE@LROGERSELECTRlC.COM BUILDING INFORMATION 1:_ri ��1n Existing Use of Building: Contract Price of Wor`$74000 It/f Uf lX f Proposed Use of Building: Heat Source: ❑Gas ❑Electric ❑Other BUILDING USE: ❑SFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: LICommercial ❑Accessory Structure Type of Project: ❑New ❑Addition ❑Remodel ❑Repair DTI. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: Permit request for adding 1 new building lighting fixtures. Installing 2 new pole base structures with new poles and fixture heads. Replace 21 existing lighting fixtures. Remove 12 existing building fixtures, 1 pole and fixture head will patch and painting of rem ASSOCIATED BUILDING PERMIT#(if applicable): 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 - NC—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 I 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 tb State Contracto Law 18.27 RCW and 296.200A WAC. ( City of Everett Official Use Only PERMIT n 00 90 Qq 9 Owner/Authorized Agent Sig ure Date (Revised 10/70/2018) I be_