1116 ROCKEFELLER AVE 2021-12-17 - Laserfiche WebLink

IIIIIIIII I PERMIT APPLICATIO• 12 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:1 1 16 Rockefeller Ave PROPERTY TAX#:29051 700202600 LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: Michael Harber TENANT BUSINESS NAME(Commercial): OWNER MAILING ADDRESS: STREET1 116 Rockefeller Ave crry Everett STATE WA ZIP 98201 OWNER PHONE:425-343-3188 OWNER EMAIL:mr h C! engineer.com CONTRACTOR NAME:AdVarlCed Installation, Inc. CONTRACTOR ADDRESS: sTREET16504 Highway 99 #101 CITY Lynnwood STATE WA ZIP 98037 CONTRACTOR PHONE:425-745-5977 CONTRACTOR EMAIL:adv2@advancedinstallation.net CONTRACTOR LICENSE#(REQUIRED):adVanii033dU CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 034245 PRIMARY CONTACT: ❑OWNER 0 CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:425-745-5977 ext.2 Heidi Dahlman CONTACT EMAIL:adv2@advancedinstallation.net BUILDING INFORMATION Existing Use of Building: (.,j'Z. Contract Price of Work: $875.00 Proposed Use of Building: Si: 11'" Heat Source: ❑Gas DElectric ❑Other BUILDING USE: OSFR ❑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: ~1.,L 1iALL. C^l-Uvv M ' L.5 f1 t �1_ Li- i C'`/L 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 l Other:Dellet Stove _ _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 Chemical Suppression System I INo.of Heads 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 the State Contractors Law 18.27 RCW and 296.200A WAC. /) City of Everett Official Use Only (>--7 Owner/Authorizedn Signature Date (Revised 10/1 /2018)