2202 100TH ST SW 2023-02-07 - Laserfiche WebLink

B)• EVERETT WASHINGTON 0 PERMIT APPLICATIOP BUILDING / MECHANICAL / PLUMBING / SIGN / SPRINKLER / 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.gov I www.everettwa.gov/permits (Blue or Black Ink Only Planae) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: 2202 100TH ST SW PROPERTY TAX #: 00538200004300 LEGAL for new construction: Short Plat/subdivision Lot No. Paine Field 5 Blk Lots 43, 44 and 45 CONTACT INFORMATION OWNER NAME: Airport 100 LLC/Kelly Stephens TENANT BUSINESS NAME (Commercial): OWNER MAILING ADDRESS: STREET P.O-Box 1243 CITY Edmonds STATE WA ZIP 98020 OWNER PHONE: 206 660 8383 OWNER EMAIL: kandjstephens@msn.com CONTRACTOR NAME: TBD CONTRACTOR ADDRESS: STREET CITY STATE ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: CONTRACTOR LICENSE #(REQUIRED): CITY OF EVERETT BUSINESS LICENSE #(REQUIRED): PRIMARY CONTACT: ❑ OWNER ❑ CONTRACTOR ❑� OTHER (Please Specify) 2812 Architecture CONTACT NAME: Danielle Fowler CONTACT PHONE: 425 252 2153 CONTACT EMAIL: danielle@2812arclh ure.c BUILDING INFORMATION Existing Use of Building: Contract Price of Work: /00 OD Proposed Use of Building: Heat Source: ❑Gas ❑Electric A ❑Other BUILDING USE: ❑SFR ❑Townhouse ❑Duplex ❑ADU ❑Multi -Family - # Units: ❑Co ercial [--]Accessory Structure Type of Project: ❑New []Addition ❑Remodel ❑Repair ❑T.1. ❑Sign []Sprinkler Demolition ❑Change of Use DESCRIPTION OF WORK: Two parts as follows: 1 - Stormwater Vault 2 - Segmental Block Wall ASSOCIATED BUILDING PERMIT # (if applicable): + + MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION Fixture Count List of Fixtures Fixture count List of Fixtures Fixture Count List of Fixtures Fixture Count List of Fixtures 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 Ventilatior (Not Heat/AC 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 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: 1 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 / comply with the State Contractors Law 18.27 RCW and 296.200A WAC. Danielle Fowler o1g,t1nys,goeebyD-0,Fowle, 2/17/2021 0— 2021 02.17 14 16 58 -00' Owner/Authorized Agent Signature Date City of Everett Official Use Only F iT�� (Revist CV-, .1 2