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2817 ROCKEFELLER AVE 2022-02-15
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2817 ROCKEFELLER AVE 2022-02-15
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2/15/2022 3:45:46 PM
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2/15/2022 3:45:41 PM
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Address Document
Street Name
ROCKEFELLER AVE
Street Number
2817
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PERMIT APPLICATIO• <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 l(E)everetteps@everettwa.gov l www.everettwa.gov/permits <br /> (Blue or Black Ink Only Please) PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS:2817 Rockefeller Ave. PROPERTY TAX#:00601066500101 <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME: Monique White C/o Advanced Management TENANT BUSINESS NAME(Commercial): <br /> OWNER MAILING ADDRESS: STREET3425 Broadway, Suite 200 <br /> CITY Everett STATE WA ZIP 98201 <br /> OWNER PHONE: 206-799-0331 OWNER EMAIL:monique@nwstorages.com <br /> CONTRACTOR NAME:David Omli - Nordic Services <br /> CONTRACTOR ADDRESS: STREET 9618 Midvale Ave. N. <br /> CITY Seattle STATE WA ZIP 98103 <br /> CONTRACTOR PHONE:206-571-2601 CONTRACTOR EMAIL:davidomli @ nordicservices.com f _. <br /> CONTRACTOR LICENSE#(REQUIRED):NORDIS11800A CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): <br /> PRIMARY CONTACT: El OWNER 0 CONTRACTOR El OTHER(Please Specify) Agent for Owner 1 <br /> CONTACT NAME: CONTACT PHONE:206-281-7500 <br /> Chris Bacus - Pacific Engineering Tech. CONTACT EMAIL:cbacus@pacengtech.COm <br /> BUILDING INFORMATION <br /> Existing Use of Building:Commercial (S-2, B&A-3) Contract Price of Work: $32,000 <br /> Proposed Use of Building: No Change Heat Source: ❑Gas DElectric ❑Other <br /> BUILDING USE: ❑SFR ❑Townhouse ❑Duplex ❑ADU ❑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: Tenant Improvements to Beauty Salon (at 1st floor level, NW corner of existing building) <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <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 I Roof Drains Water Heater <br /> SPRINKLER / SUPPRESSION SYSTEM Sewage Ejector or Sump Pump Other: <br /> Water Suppression System INo.of Heads <br /> Chemical Suppression System No.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 /> City of Everett Official Use Only <br /> PERMIT# <br /> April 7,2021 3 �tY D <br /> Owner/Authorized Agent Signature Date (Revised 10/10/2018) <br />
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