Laserfiche WebLink
• • <br /> IIM 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:3430 16th St. PROPERTY TAX#:29051700402700 <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> • <br /> OWNER NAME: Gary Baldwin TENANT BUSINESS NAME(commercial): Washington Marine Cleaning <br /> OWNER MAILING ADDRESS: sTREET3430 16th St. <br /> CITY Everett STATE WA zip 98201 <br /> OWNER PHONE:4253178298 OWNER EmAIL:gary@washmarine.com <br /> CONTRACTOR NAME:Gary Baldwin <br /> CONTRACTOR ADDRESS: STREET3430 16th St. <br /> cI- Everett STATE WA zip 98201 <br /> CONTRACTOR PHONE:425 317 8298 CONTRACTOR EmAIL:garya@washmarine.com <br /> CONTRACTOR LICENSE#(REQUIRED): CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): <br /> PRIMARY CONTACT: 0 OWNER 0 CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE:425 317 8298 <br /> Gary Baldwin CONTACT EMAIL:gary@washmarine.com <br /> BUILDING INFORMATION <br /> Existing Use of Building:Warehouse Contract Price of Work:$83,230.00 <br /> Proposed Use of Building:Warehouse Heat Source: OGas OElectric ❑Other <br /> BUILDING USE: ❑SFR ❑Townhouse ❑Duplex DADU ❑Multi-Family-#Units: ID Commercial ❑Accessory Structur <br /> Type of Project: ❑New ❑✓Addition ❑Remodel ❑Repair DTI. ❑Sign ❑Sprinkler. ❑Demolition ❑ ha to of Use <br /> DESCRIPTION OF WORK: Create 550 square foot water analysis Laboratory <br /> I <br /> ASSOCIATED BUILDING PERMIT#(if appli.. <br /> MECHANICAL PERMIT • • • CA •(• PLUMBING PE• • IT APPLI ION <br /> CountF/ ture <br /> List of Fixtures ; 1,. lurecome List fixtures Fixture List of Fixtures Fixture List of Fixtures <br /> Count Count <br /> A/C- it Handling Units G Iping Bac w Preventer(Inside Bldg) Shower,Tub,or Combo <br /> Boiler as Range Clothes slier Sink-Commercial(3-comp,prep,floor) <br /> Clothes Dryer'<< 17 Heat Pump&Ductless 1 Dishwasher Sink-Residential(kitchen,bath,bar) <br /> Duct System(Rem'odel) ---,/. Refrigeration Drinking Fountain 1 Sink-Utility,laundry,mop <br /> Exhaust Fans(Residentlal( Commercial Ventilation Floor Drain Toilet <br /> Exhaust Hood(Type I) 4 (Not Heat/AC system) Hose Bibb Urinal <br /> Exhaust Hood(Type>,�;,H 1'�.Water Heater Interceptor-Grease tt- Waste/Water Piping Repair <br /> Exhaust Hood(R!es(ential) d Stove Interceptor-Sand/0 WaterService(behind meter) <br /> Forced Air Syst ms Other: Medical Gas Water Valves or Fixtures <br /> Gas Firepl�90/Insert/Log Roof Drains 1 Water Heater <br /> SPRINKLER/SUPPRESSION SYSTEM Sewage Eje or or Sump Pump Other: <br /> Water Suppress ttSystem No.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 1 comp with the State Contractors Law 8.27 RCW and 296.200A WAC. <br /> City of Everett Official Use Only <br /> / <br /> 1 PERMIT# <br /> 4011.J AL.411 - 09-21-20 B2009-031 <br /> r/ uthor A. nt•.ign•pure Date <br /> (Revised 10/10/2018) <br /> 4 <br />