2316 12TH ST 2022-07-13 - Laserfiche WebLink

PERMIT APPLICATION• BUILDING / MECHANICAL/ PLUMBING / SIGN / SPRINKLER/ DEMOLITION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT,WA 98201 (P)425-257-8810 I FAX 4OLT25-257-8857 I(E)everetteps@everettwa.gov I www.everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: 2316 12TH ST PROPERTY TAX#: LEGAL for new construction: Short Plat/subdivision_ Lot No._ (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: BOYS & GIRLS CLUB TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET 2316 12TH ST cITY EVERETT STATE WA zip 98203 OWNER PHONE: 425-259-5147 OWNER EMAIL: CONTRACTOR NAME: PYE BARKER FIRE CONTRACTOR ADDRESS: STREET 735 E FAIRHAVEN AVE CITY BURLINGTON STATE WA ZIP 98233 CONTRACTOR PHONE: 360-755-5444 CONTRACTOR EMAIL: TAYLORN@PYEBARKERFIRE.COM CONTRACTOR LICENSE#(REQUIRED): ALPINFS077RP CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): PRIMARY CONTACT: 0 OWNER CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 360-755-5444 / 360-610-9682 NISHA TAYLOR CONTACT EMAIL: TAYLORN@PYEBARKERFIRE.COM BUILDING PERMIT APPLICATION Existing Use of Building: CHILD CARE Contract Price of Work:$ 1433.00 Proposed Use of Building: NO CHANGE Heat Source: EGas DElectric ❑Other Building Type: ❑SFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units: Commercial ❑Industrial Type of Project: ❑New ❑Addition ❑Remodel Q1Repair ❑T.I. OSign VSprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: PERFORM 12 YEAR MAINTENANCE, INSTALL DUCT SENSOR(TO BE CONNECTED BY OTHERS) ,ASSOCIATED BUILDING PERMIT#(if applicable): MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION Type of Project: _New _ Addn _Alteration _Repair Type of Project: _New _Addn _Alteration _Repair #of #of #of #of List of Fixtures List of Fixtures List of Fixtures List of Fixtures Fixtures Fixtures Fixtures Fixtures _ _ A/C_—Air Handling Units Heat Pump Toilet Backflow Preventer(Inside Bldg) Forced Air Systems Unit Heater Bathtub Urinal Gas Piping Boiler Lavatory(Wash Basin) Drinking Fountain _ _Water Heater Refrigeration Shower Floor Drain Gas Fireplace Wood Stove Kitchen Sink&Disposal Grease Trap Gas Range Ducting Dishwasher Roof Drains Clothes Dryer Hookups Other: Clothes Washer Medical Gas Range Hood Water Heater Other Exhaust Fan Sink(Service/Bar/Mop/etc.) Other: SPRINKLER/ SUPPRESSION SYSTEM mai Chemical or Water I & 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 mply with the State Contractors Law 18.27 RCW and 296.200A WAC. iOCity of Everett Official Use Only PERMIT# -e-V-----___. ii -2Li -zozo wn uthorized Agent Signature Date (Revised 9/23/2016) 1 z