1728 W MARINE VIEW DR Western Wa Medical Group 2021-12-10

• PERMIT APPLICATION 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 www.everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS:1728 West Marine View Drive Everett wa 98201 PROPERTY TAX#: LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: Port of Everett TENANT BUSINESS NAME(Commercial): Group OWNER MAILING ADDRESS: STREET 1205 Craftsman way "gal' In 4 , cV VraiU c,,,- Everett STATE Wa ZIP 9820 OWNER PHONE: 425-330-7538 OWNER EMAIL:jamesg©portofeverett.com CONTRACTOR NAME:Harris Pacific Northwest CONTRACTOR ADDRESS: STREET3436 Airport Dr cm, Belllingham STATE Wa ZIP 98226 CONTRACTOR PHONE:360-734-5130 CONTRACTOR EMAIL:Service.PacificNorthwest@Harriscompany.com CONTRACTOR LICENSE#(REQUIRED):HARRIPN813JP CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 58454 PRIMARY CONTACT: ❑OWNER D CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:360 305 7519 Dirk Robbins CONTACT EMAIL:darobbins@harriscompany.com BUILDING INFORMATION Existing Use of Building:Small business tenant spaces Contract Price of Work: $36,000 Proposed Use of Building: Heat Source: IZGas UElectric ❑Other BUILDING USE: ❑SFR ❑Townhouse ❑Duplex ADU ❑Multi-Family-#Units: ❑✓Commercial ❑Accessory Structure Type of Project: ❑New ❑Addition ❑Remodel ❑✓Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: Replace exisitng electric heat/Ac rooftop units with Gas heat/Ac rooftop units 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 2 A/C-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 '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. 1 am the owner,or I am authorized by the owner of this property to perform the work for which application is made, and/comply with the State Contractors Law 18.27 RCW and 296.200A WAC. City of Everett Official Use Only /J-7^ � ' " PERMIT# Da41—e- Y fi i�it/LC/yl- 11-17-20 Owner/Authorized Agent Signature Date (Revised 10/10/2018)