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2902 RUCKER AVE 2022-01-25
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2902 RUCKER AVE 2022-01-25
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Last modified
1/25/2022 2:28:18 PM
Creation date
1/25/2022 2:27:11 PM
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Address Document
Street Name
RUCKER AVE
Street Number
2902
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® PERMIT APPLICATION • <br /> BUILDING / MECHANICAL / PLUMBING / SIGN /SPRINKLER / 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:2902 Rucker Ave PROPERTY TAX#: <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME: DMT Rucker, LLC do Monique White TENANT BUSINESS NAME(Commercial): <br /> OWNER MAILING ADDRESS: sTREET3425 Broadway #100 <br /> crrr Everett STATE WA ZIP 98201 <br /> OWNER PHONE: OWNER EMAIL: <br /> CONTRACTOR NAME:BUrf1S Fire Protection Systems, Inc. <br /> CONTRACTOR ADDRESS: STREET PO Box 1110 <br /> CITY Granite Falls STATE WA zip 98252 <br /> CONTRACTOR PHONE:360-691-2235 CONTRACTOR EMAIL:aUdra©bUCT1Sfire.COm <br /> CONTRACTOR LICENSE#(REQUIRED):BURNSFP841 DU CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 054660 <br /> PRIMARY CONTACT: 0 OWNER D CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE:425-905-5780 <br /> Keith Kyle CONTACT EMAIL:keith@burnsfire.com <br /> BUILDING INFORMATION <br /> Existing Use of Building:CommerCial Contract Price of Work: $73,500.00 <br /> Proposed Use of Building:CommerCial Heat Source: ❑Gas DElectric ❑Other <br /> BUILDING USE: ❑SFR Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: OCommercial ❑Accessory Structure <br /> Type of Project: New ❑Addition ❑Remodel ❑Repair T.I.D ❑Sign !]Sprinkler ❑Demolition ❑Change of Use <br /> DESCRIPTION OF WORK: Burns to modify the existing system to meet new tenant layout, all existing sprinkler alarm devides to <br /> remain as is. adding new branch lines in weight room area and relocation of heads as needed to meet code in areas of new <br /> construction. <br /> ASSOCIATED BUILDING PERMIT#(if applicable):B2003-043 <br /> MECHANICAL PERMIT APPLICATION PLUMBING 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 /> A/C—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 'e Sewage Ejector or Sump Pump Other: <br /> Water Suppression System _166 No.of Heads <br /> Chemical Suppression System No.of Heads <br /> ACKNOWLEDGEMENT:I have m wed 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 ofapanoifonly 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 /> �/ `/� PER IT r <br /> c/// ( L:' `.- 8-21-2020j......Th--....s <br /> Owner/Authorized Agent Signatur Date (Revised 10/10/2018) <br />
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