Laserfiche WebLink
12 PERMIT APPLICATION <br /> 12 BUILDINGOECHANICAL/ PLUMBING/SIGN /110RINKLER/ DEMOLITION <br /> EVERETT CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET,EVERETT,WA 98201 <br /> WASHINGTON (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:1315 Pacific Avenue PROPERTY TAX#:00437572001200,201 <br /> LEGAL for new construction: Short Plat/subdivision See attached Lot No. (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME: Potala Village LLC TENANT BUSINESS NAME(Commercial): <br /> OWNER MAILING ADDRESS: STREET PO Box 13261 <br /> cnv Everett STATE WA ZIP 98206 <br /> OWNER PHONE: 212.430.1719 OWNER EMAIL:hdavidson@castlelanterra.com <br /> CONTRACTOR NAME:Viking Construction <br /> CONTRACTOR ADDRESS: sTREET2609 Wetmore Ave <br /> CITY STATE STATE WA ZIP 98201 <br /> CONTRACTOR PHONE:425.286.8131 CONTRACTOR EMAIL:ccurtin@Vikingcg.net <br /> CONTRACTOR LICENSE#(REQUIRED):VIKINCG837LT CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 60079 <br /> PRIMARY CONTACT: 0 OWNER 0 CONTRACTOR D OTHER(Please Specify) Architect <br /> 4 <br /> CONTACT NAME: CONTACT PHONE:206.405.2537 <br /> Matt Wasse CONTACT EMAIL:matt@sww-ai.com <br /> BUILDING INFORMATION <br /> Existing Use of Building:R2,B,S-2 Contract Price of Work:$250,000 <br /> Proposed Use of Building:no change Heat Source: ❑Gas Electric ❑Other <br /> BUILDING USE: ❑SFR ❑Townhouse ❑Duplex ❑ADU I]Multi-Family-#Units: ❑✓Commercial ❑Accessory Structure <br /> Type of Project: ❑New ❑Addition ❑Remodel ❑Repair ❑✓T.I. ❑Sign ❑Sprinkler ❑✓Demolition ❑Change of Use <br /> DESCRIPTION OF WORK: <br /> INTERIOR REMODEL OF FIRST FLOOR LOBBY, LEASING, AND AMENITIES SPACE. <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> •. ` ECHANICAL PERMIT APPLICATIONPLUMBING PERMIT APPLICATION „ <br /> Fixture Fixture Fixture Fixture <br /> Count List of Fixtures Count List of Fixtures Count List of Fixtures Count List of Fixtures <br /> NC—Air Handling Units _Gas Piping Backflow Preventer(Inside Bldg) Shower,Tub,or Combo <br /> Boiler Gas Range Clothes Washer Sink-Commercial(3-comp,prep,floor) <br /> Clothes Dryer _Heat Pump&Ductless Dishwasher Sink-Residential(kitchen,bath,bar) <br /> Duct System(Remodel) Refrigeration Drinking Fountain Sink-Utility,laundry,mop <br /> Exhaust Fans(Residential) Commercial Ventilation Floor Drain Toilet <br /> Exhaust Hood(Type I) (Not Heat/AC system) Hose Bibb Urinal <br /> Exhaust Hood(Type II) _Water Heater Interceptor-Grease Waste/Water Piping Repair <br /> Exhaust Hood(Residential) _Wood Stove Interceptor-Sand/Oil Water Service(behind meter) <br /> Forced Air Systems Other: Medical Gas Water Valves or Fixtures <br /> Gas Fireplace/Insert/Log Roof Drains Water Heater <br /> SPRINKLER/SUPPRESSION SYSTEM` Sewage Ejector or Sump Pump Other: <br /> Water Suppression System _No.of Heads <br /> Chemical Suppression System I No.of Heads <br /> 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 <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 /> City of Everett Official Use Only <br /> P E IT#09.17.19 2i^ <br /> Owner/ t on ed gent Signature Date (Revised 10/10/2018) l <br /> 17 <br />