2732 GRAND AVE BASE FILE 2022-06-28

� PERMIT APPLICATIMI MECHANICAL / PLUMBING / SIGNTSPRINKLER / DEMOLITION EVERETT CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT,WA 98201 WASHINGTON (P)425-257-8810 I FAX 425-257-8857 I(E)everetteps@everettwa.gov 1 www.everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS:2732 GRAND AVENUE PROPERTY TAX#: LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: SKOTDAL TENANT BUSINESS NAME(Commercial): OWNER MAILING ADDRESS: sTREET2707 COLBY AVE cry EVERETT STATE WA zip 98201 OWNER PHONE: 425-387-7275 OWNER EMAIL: CONTRACTOR NAME:EVERGREEN STATE SHEET METAL CONTRACTOR ADDRESS: STREET2120 W PACIFIC AVE ci v EVERETT STATE WA ZIP 98201 CONTRACTOR PHONE:425-252-31 14 CONTRACTOR EMAIL:CHARISSE@ESSMWA.COM CONTRACTOR LICENSE#(REQUIRED):EVERGSSO22OT CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 007955 PRIMARY CONTACT: ❑OWNER 0 CONTRACTOR 0 OTHER (Please Specify) CONTACT NAME: CONTACT PHONE: CHARISSE GUNNELS CONTACT EMAIL:CHARISSE@ESSMWA.COM BUILDING INFORMATION Existing Use of Building: Contract Price of Work: $26945 Proposed Use of Building: Heat Source: OGas ❑Electric ❑Other BUILDING USE: ❑SFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: ❑✓Commercial ❑Accessory Structure Type of Project: ❑New ❑Addition ❑Remodel ❑Repair ❑✓T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: REMOVE AND REPLACE 2 ROOFTOP UNITS. LIKE FOR LIKE. ASSOCIATED BUILDING PERMIT#(if applicable): MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION Fixture List of Fixtures Fixture Fixture Fixture List of Fixtures Count Count List of Fixtures Count List of Fixtures Count A/C-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 Ventilation Floor Drain Toilet Exhaust Hood(Type I) (Not Heat/AC system) Hose Bibb Urinal Exhaust Hood(Type II) 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 2 Roof Drains Water Heater SPRINKLER / SUPPRESSION SYSTEM Sewage Ejector or Sump Pump Other: Water Suppression System No.of Heads - Chemical Suppression System 'No.of Heads 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 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 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, and I comply with the State Contractors Law 18.27 RCW and 296.200A WAC. - City of Everett Official Use Only li\ '1 ,') ! It- '‘'/'-is-%1 ' '‘ iltfUjikiLc((:t 6,u/ ik.C .) PErt Oos_, 03 OwneAuthorized Agent Signature Date (Revised 10/10/2018) p I -?