2220 PINE ST 2022-01-20 - Laserfiche WebLink

PERMIT APPLICATIO BUILDING / MECHANICAL / PLUMBING / SIGN / RINKLER/ 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:2220 Pine St Everett WA 98201 PROPERTY TAX#:00578700100900 LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: Parkview Services TENANT BUSINESS NAME(Commercial): OWNER MAILING ADDRESS: STREET 17544 Midvale Ave N. Suite LL CITY Shoreline STATE WA zip 98133 OWNER PHONE: (206) 542-6644 OWNER EMAIL:peter@parkviewservices.org CONTRACTOR NAME:MAD Construction CONTRACTOR ADDRESS: STREET a.7 ti v. C,,..kr�t x.�od DC. t-✓ St-c'' I CITY coo 0Ri'! STATE t,c.J4 ZIP 9 -y CI 1 CONTRACTOR PHONE: ,-?fj' - j 2......5 -`j vd Sr. CONTRACTOR EMAIL: t"•'1 A 0 Cc\r\-S+ (ei), L-,v,E_ , �ct-.., . CONTRACTOR LICENSE#(REQUIRED): M A0e-r.` : COI ( ,c CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 5 L.( so PRIMARY CONTACT: 0 OWNER El CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 0,5,3 cj ,( - ICI / Kevin Young CONTACT EMAIL: fvtf}pL'»oepSp Lr. `+� 'i L-leiL e (.-L-t - . BUILDING INFORMATION Existing Use of Building:Residential Contract Price of Work:$ 9 t 1 f.>C'`° Proposed Use of Building:Residential Heat Source: OGas ElElectric DOther 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: Re4wocte4 Qu.„>4 �Jp 9�" � b O kVAdre)O►'vt �Ze.—.(Le 1 I toe`R-tr ) Q(d•^`nz+'er,,,,r.-1." �,"""1 � kf6 1�r `Yv.,5c,.1 'Pe-c W 4".` oib✓L l jJ pc eci'T c ,44�e- �-r on wA41-po�� ww a et ASSOCIATED BUILDING PERMIT#(if applicable): 5�bt I I4 \e2 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 A/C—Air Handling Units Gas Piping Backflow Preventer(Inside Bldg) 1 Shower,Tub,or Combo Boiler Gas Range 1 Clothes Washer Sink-Commercial(3-comp,prep,floor) Clothes Dryer Heat Pump&Ductless 1 Dishwasher 1 Sink-Residential(kitchen,bath,bar) Duct System(Remodel) Refrigeration _Drinking Fountain Sink-Utility,laundry,mop 2 Exhaust Fans(Residential) Commercial Ventilation Floor Drain 1 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 1 Water Valves or Fixtures Gas Fireplace/InserULog Roof Drains 1 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. 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. Cityit offn Everett Official Use Only PERMIT ,,,V lY r V C S IC k Owner/Authorized Agent Signature Date (Revised 10/10/2018) --------?-7A