10200 19TH AVE SE 2023-01-26 - Laserfiche WebLink

G • aov,��_) (�q PERMIT APPLICATION EVERETT WASHI'NGTON BUILDING / MECHANICAL / PLUMBING I SIGN / SPRINKLER i DEMOLITION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P) 425-257-8810 1 FAX 425-257-8857 1 (E) everetteps@everettwa_clov I www.everettwa.00v/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 Inc. TENANT BUSINESS NAME (commercial COStCO OWNER MAILING ADDRESS: STREET999 Lake Drive crrY Issaquah su,TE WA zip 98027 OWNER PHONE: 425-313-8100 OWNER EMAIL: bscougale@costco.COm CONTRACTOR NAME: Interstate Construction Group Inc. CONTRACTOR ADDRESS: STREar437 29th Street NE, Suite F cin Puyallup sTA-E WA z,s 98372 CONTRACTOR PHONE: 253-435-0949 CONTRACTOR EMAIL: larry@interstateconstructiongroup,com CONTRACTOR LICENSE #(REQUIRED): INTERCG974QR CITY OF EVERETT BUSINESS LICENSE #(REQUIRED): 051 597 PRIMARY CONTACT: ❑ OWNER 0 CONTRACTOR ❑ OTHER (Please Specify) CONTACT NAME: Larry Prescott CONTACT PHONE: 425-890-6358 CONTACT EMAIL: tarry@interstateconstructiongroup.com BUILDING INFORMATION Existing Use of Building: Contract Price of Work: $ Proposed Use of Building: I Heat Source: ❑Gas ❑Electric ❑Other BUILDING USE: ©SFR ❑Townhouse ❑Duplex ❑ADU ❑Multi -Family- # Units: ❑Commercial ❑Accessory Structure Type of Project: ❑New ❑Addition ❑Remodel ❑Repair ❑T.I. ❑Sin ❑Sprinkler ❑Demolition ❑Chan e of Use DESCRIPTION OF WORK: This buildingpermit application is being submitted to replace the contractor listed on permit #61901-007 with Interstate Construction Group Inc. The previous contractor, BMSI Construction is no longer associated with this project. ASSOCIATED BUILDING PERMIT # (if applicable): MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION Fixture Count List of Fixtures Fixture coum List of Fixtures Fixture Count List of Fixtures Fixture Count List of Fixtures AiC — 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 Ventilatio (Not Heat/AG system) Floor Drain Toilet Exhaust Hood (Type 1) Hose Bibb Urinal Exhaust Hood (Type 11) 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 I Roof Drains Water Heater SPRINKLER / SUPPRESSION SYSTEM ISewage Ejector or Sump Pump Other: Water Suppression System I No. of Heads Chemical Suppression System INo. of Heads ACKNOWLEDGEMENT. t have reviewed this application and confirm the information contained herein is tare 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 ✓rider an an 1�e owner. or i am authorized by the owner of this property to perform the work for which application is made, and t comply with tt�S(ate Con rs Law i$ 7 RCW and 296.200A Vt%: City of Everett Official Use Only �J PER i # j ent Signature Data(Revised fO/1012018) //Z___�'