6305 36TH AVE W B 2024-06-26 - Laserfiche WebLink

PERMIT APPLICATION BUILDING / MECHANICAL / PLUMBING / SIGN / SPRINKLER/ DEMOLITION CITY OF EVERETT PERMIT SERVICES OL 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 Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS:6301 36th Ave W I PROPERTY TAX#: 28040300401200 LEGAL for new construction: Short Plat/subdivision Bldg B Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: Powdermill Phase 1 LLC TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET 6840 Fort Dent Way,Suite 350 cn' Seattle STATE WA z'P 98188 OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME: State Mechanical CONTRACTOR ADDRESS: STREET 8706 S 222nd St ciry Kent STATE WA zip 98031 CONTRACTOR PHONE:206-575-7527 CONTRACTOR EMAIL: stevec@statemech.net CONTRACTOR LICENSE#(REQUIRED): STATEMC141C7 CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 030329 PRIMARY CONTACT: ❑OWNER ®CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: Steve Carney CONTACT PHONE: 206-575-7527 CONTACT EMAIL:stevec@statemech.net BUILDING PERMIT APPLICATION Existing Use of Building: Contract Price of Work: $28,680.00 Proposed Use of Building: Heat Source: ❑Gas ❑Electric ❑Other Building Type: ❑SFR-Detached ❑SFR-Attached []Duplex []Multi-Family-#of Units: ®Commercial ❑Industrial Type of Project: ❑New, ❑Addition ❑Remodel ❑Repair ®T.I. []Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK:To plumb and install:4 Water closets,4 Lays, 1 Sink, 1 Drinking fountain & 1 Hot water tank W/Circ pump ASSOCIATED BUILDING PERMIT#(if applicable): MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION Type of Project: _New _ Addn _Alteration _Repair Type of Project: _New _Addn X Alteration _Repair #of List of Fixtures #of List of Fixtures #of List of Fixtures #of List of Fixtures Fixtures Fixtures Fixtures Fixtures A/C—Air Handling Units Heat Pump 4 Toilet Backflow Preventer(Inside Bldg) Forced Air Systems Unit Heater 4 Bathtub Urinal Gas Piping Boiler Lavatory(Wash Basin) 1 Drinking Fountain Water Heater Refrigeration Shower Floor Drain Gas Fireplace Wood Stove 1 Kitchen Sink&Disposal Grease Trap Gas Range Ducting Dishwasher Roof Drains Clothes Dryer Hookups Other: Clothes Washer Medical Gas Range Hood 1 Water Heater Other: Exhaust Fan Sink(Service/Bar/Mop/etc.) Other: SPRINKLER/SUPPRESSION SYSTEM Chemical or Water 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 1 am authorized by the owner of this property to perform the work for which application is made, and 1 comply with the State Contractors Law 18.27 RCW and 296.200A WAC. City of Everett Official Use Only _JtEW-D CANnag 12/8/23 PERMIT# Owner/Authorized Agent Signature Date (Revised 912312016)