Laserfiche WebLink
OLT PERMIT APPLICATIO <br /> BUILDING I ECHANICAL / PLUMBING / SIGN S INKLER/ EMOLITION <br /> CITY OF EVERETT PERMIT SERVIC <br /> 3200 CEDAR STREET,EVERETT,WA 98201 <br /> (P)425-257-8810 I FAX 425-257-8857 I (E)everetteps©everettwa.gov I www.everettwa.gov/permits <br /> (Blue or Black Ink Only Please) PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS: 1325 SE EVERETT MALL WAY UNIT B4 PROPERTY TAX#: 28051800404900 <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME: TRU 2005 RE I LLC TENANT NAME(If Commercial): FLYING SQUIRREL SPORTS. <br /> OWNER MAILING ADDRESS: STREET 1 GEOFFREY WAY <br /> CITY WAYNE STATE NJ ZIP 07470 <br /> OWNER PHONE: OWNER EMAIL: <br /> CONTRACTOR NAME: WOLFE FIRE PROTECTION <br /> CONTRACTOR ADDRESS: STREET 832 80TH STREET SW <br /> or( EVERETT STATE WA zip 98203 <br /> CONTRACTOR PHONE: (3 6 0) 7 9 4—8 6 21 EXT 206 CONTRACTOR EMAIL: JOD I J@WOLFEFP . COM <br /> CONTRACTOR LICENSE#(REQUIRED): WOLFEFP 9 0 6DD CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 050129 <br /> PRIMARY CONTACT: ❑ OWNER M CONTRACTOR ❑ OTHER(Please Specify) <br /> • <br /> CONTACT NAME: Chuck Bamford CONTACT PHONE: (360) 794-8621 ext 313 <br /> CONTACT EMAIL: Chu ckb@wolfefp . com <br /> BUILDING PERMIT APPLICATION <br /> Existing Use of Building: Contract Price of Work: $ 3, 50 0 <br /> Proposed Use of Building: Heat Source: ❑Gas ❑Electric ❑Other <br /> Building Type: ❑SFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units: ®Commercial El Industrial <br /> Type of Project: ❑New DAddition ®Remodel ❑Repair ❑T.i. ❑Sign ®Sprinkler ❑Demolition El Change of Use <br /> DESCRIPTION OF WORK: <br /> Install one 6" DCDA Backflow Preventer inside the building. <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type of Project: _New _ Addn _Alteration Repair Type of Project: _New Addn X Alteration Repair <br /> #of #of List of Fixtures List of Fixtures #of List of Fixtures #°f List of Fixtures <br /> Fixtures Fixtures Fixtures Fixtures <br /> A/C—Air Handling Units Heat Pump Toilet 1 Backflow Preventer(Inside Bldg) <br /> Forced Air Systems Unit Heater Bathtub Urinal <br /> Gas Piping Boiler Lavatory(Wash Basin) Drinking Fountain <br /> Water Heater Refrigeration Shower Floor Drain <br /> Gas Fireplace Wood Stove Kitchen Sink& Disposal Grease Trap <br /> ,Gas Range Ducting Dishwasher Roof Drains <br /> Clothes Dryer Hookups Other: Clothes Washer Medical Gas <br /> Range Hood _ Water Heater Other: <br /> Exhaust Fan Sink(Service/Bar/Mop/etc.) Other: <br /> SPRINKLER/SUPPRESSION SYSTEM <br /> 'Number of Heads <br /> 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 <br /> 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 <br /> 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, <br /> and I comply with the State Contractors Law 18.27 RCW and 296.200A WAC. <br /> N <br /> �j /ze _ <br /> City of Everett Official Use Only <br /> �J PERMIT#_ a of)(2- <br /> Ow uthorized nt Signature Date (Revised 5/20/2016) F! <br />