Laserfiche WebLink
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 I(E)everetteps@everettwa.gov I www.everettwa.gov/permits <br /> (Blue or Black Ink Only Please) PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS:3007 Rucker Ave PROPERTY TAX#:00439171900100 <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME: Express Storage Inc TENANT BUSINESS NAME(Commercial): Express Storage <br /> OWNER MAILING ADDRESS: STREET 3007 Rucker Ave <br /> cm' Everett STATE WA ZIP 98201 <br /> OWNER PHONE: 425.214.1371 OWNER EMAIL: <br /> CONTRACTOR NAME:Emily Hayes(Plumb Signs) <br /> CONTRACTOR ADDRESS: STREET 909 S 28th St <br /> crry Tacoma STATE WA ZIP 98409 <br /> CONTRACTOR PHONE:253.473.3323 CONTRACTOR EMAIL:emily@plumbsigns.com <br /> CONTRACTOR LICENSE#(REQUIRED):PLUMBSI077QC CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 48285 <br /> PRIMARY CONTACT: ❑OWNER D CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE:253.473.3323 <br /> Emily Hayes CONTACT EMAIL:emily@plumbsigns.com <br /> BUILDING INFORMATION <br /> Existing Use of Building:Storage facility Contract Price of Work:$11,526.08 <br /> Proposed Use of Building:Storage facility Heat Source: ❑Gas ❑Electric IlIOther N/A <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: Removing and replacing (3)non-illuminated wall signs. <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 Ventilatior 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 Sewage Ejector or Sump Pump Other: <br /> Water Suppression System 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 I comply with the State Contractors Law 18.27 RCW and 296.200A WAC. <br /> City of Everett Official Use Only <br /> PERMIT# 5 i ' o -`-�'_ , o O- <br /> 2/16/21 <br /> Owner/Aut rized A t Signature Date (Revised 10/10/2018) <br /> 11 <br /> z <br />