Laserfiche WebLink
PERMIT APPLICATION <br />EVERETT <br />WASHINGTON <br />BUILDING / MECHANICAL / PLUMBING I SIGN / SPRINKLER / DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />(P) 425-257-8810 1 FAX 425-257-8857 1 (E) everetteps(a)everettwa.gov I www.everettwa,aov/permits <br />Blus or Black Ink Only Ploass PROJECT SITE INFORMATION <br />PROJECT SITE ADDRESS: 2701 Rockefeller Ave Everett, WA 98201 <br />PROPERTY TAX #: 00439162700100 <br />LEGAL_ for new construction: Short Plat/subdivislon EVERETT PLAT OF BLK 627 D-00 Lot No. 1 &2 (attach copy of long legal description) <br />CONTACT INFORMATION " <br />OWNER NAME: Everett OZ Developer, LLC TENANT BUSINESS NAME (Commercial): <br />OWNER MAILING ADDRESS: STREET 1420 Fifth Ave, Suite 2200 <br />CITY Seattle STATE WA ZIP 98101 <br />OWNER PHONE: <br />OWNER EMAIL: <br />CONTRACTOR NAME: One Way Plumbing LLC <br />CONTRACTOR ADDRESS: STREET 127 10th St South Suite #200 <br />CITY Kirkland STATE WA ZIP 98033 <br />CONTRACTOR PHONE: 206-427-4578 <br />CONTRACTOR EMAIL..jeifg@owpllc,net <br />CONTRACTOR LICENSE #(REQUIRED): 0NEWAWP895BU <br />CITY OF EVERETT BUSINESS LICENSE #(REQUIRED): 62934 <br />PRIMARY CONTACT: ❑ OWNER El CONTRACTOR ❑ OTHER (Please Specify) <br />CONTACT NAME: <br />Jeff Gerard <br />CONTACT PHONE: 206-427-4578 <br />CONTACT EMAIL: jeffg@owpllc,net <br />BUILDING INFORMATION' <br />Existing Use of Building; Contract <br />Price of Work: $ 82.700 <br />Proposed Use of Building: I Heat <br />Source: ❑Gas ❑Electric ❑Other <br />BUILDING USE: ❑SFR ❑Townhouse ❑Du lex ❑ADU ©Multi -Family- # Units: ❑Commerc€a€ ElAccessory Structure <br />Type of Project: ❑✓ New ❑Addition ❑m❑ Reodel Re air ❑T.I. ❑Sin ❑S rinkler ❑Demolition ❑Chan a of Use <br />DESCRIPTION OF WORK: Install of plumbing in underground portion of new building <br />ASSOCIATED BUILDING PERMIT # if a livable :T L 2, v <br />d <br />MECHANICAL <br />PERMIT <br />APPLICATION <br />PLUMBING PERMIT <br />APPLICATION <br />Fixture <br />Count <br />List o/ Fixtures <br />Fixture <br />Count <br />List of Fixtures <br />Fixture <br />Count <br />List of Fixtures <br />Fixture <br />Count <br />Ltsf of Fixfures <br />A/C —Air Handling Units <br />Gas Piping <br />Backflow Preventer (inside Bldg) <br />Shower, Tub, or Combo <br />Boller <br />Gas Range <br />Clothes Washer <br />Slnk-Commercial (3-com rep,floor <br />Clothes Dryer <br />Heat Pum &Ductless <br />Dishwasher <br />Sink -Residential kitchen, bath, bar <br />Duct System (Remodel) <br />Refrigeration <br />Drinking Fountain <br />Sink -Utility, laundry, mop <br />Exhaust Fans (Residential) <br />Commercial Ventilatior <br />(Not Haat/AC system) <br />10 <br />Floor Draln <br />Toilet <br />Exhaust Hood g1pe I <br />Hose Bibb <br />Urinal <br />Exhaust Hood (Type 11 <br />Water Heater <br />Interce tor -Grease <br />WasteM/ater Piping Repair <br />Exhaust Hood (Residential) <br />Wood Stove <br />1 <br />Interce tor-Sand/011 <br />Water Service behind meter <br />Forced Air Systems <br />Other: <br />Medical Gas <br />Water Valves or Fixtures <br />Gas Fireplace/Insert/Log4— <br />Roof Drains <br />Water Heater <br />SPRINKLER /`SUPPRESSION <br />SYSTEM <br />2 <br />Sewage Ejector or Sump Pump <br />Other: 9-Risers for pickups <br />Water Suppression System I <br />INo. of Heads <br />Chemical Suppression System <br />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. l am the owner, or 1 am authorized by the owner of this property to perform the work for which application is made, <br />and l comply with the State Contractors Law 18.27 RCW and 296,200A WAC. <br />Jeff Gerard 9 _, �, b <br />,M a 1-26-21 <br />Owner/Authorized Agent Signature Date <br />City of Everett Official Use Only <br />PERMI <br />N- <br />(Revised 1011012018) <br />