10200 19TH AVE SE 2022-01-21 - Laserfiche WebLink

PERMIT APPLICATION 1141 BUILDIN ECHANICAL / 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 l(E)everetteps@everettwa.gov l www.everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS:10200 19th Ave SE Everett,WA 98208 PROPERTY TAX#: LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: Costco Wholesale Facilties TENANT BUSINESS NAME(Commercial): COStCO OWNER MAILING ADDRESS: STREET 999 Lake Drive tiny Issaquah STATE WA zip 98027 OWNER PHONE: 206-962-6694 OWNER EMAIL:grace.lounsbury@MG2.com CONTRACTOR NAME:Hermanson Company CONTRACTOR ADDRESS: STREET 1221 2nd Ave N CITY Kent STATE WA zip 98032 CONTRACTOR PHONE:206-573-2023 CONTRACTOR EMAIL:klange@hermanson.com CONTRACTOR LICENSE#(REQUIRED):hermac1005bj CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 037262 PRIMARY CONTACT: El OWNER O CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:206-573-2023 Kimberly Lange CONTACT EMAIL:klange@hermanson.com BUILDING INFORMATION Existing Use of Building: Contract Price of Work:$47,500 Proposed Use.of Building: Heat Source: OGas ❑Electric ❑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 10 RTU with like for like units. Plan and spec job designed by T.E. Inc. 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 10 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 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 I comply with the State Contractors Law 18.27 RCW and 296.200A WAC. City of Everett Official Use Only PERMIT,# ^ -Gg � 7/29/19 "'VA I` �hJ�1 Owner/Authorized Ag' t Sign' Date (Revised 10/10/2018)