1517 132ND ST SE 2024-12-09 - Laserfiche WebLink

PLUMBING PERMIT APPLICATION EVERETT SUBMITTAL INSTRUCTIONS: OF EVERETT PERMIT SERVICES S: Drop off hard copy completed paper application to 3200 Cedar Street 2nd Floor Intake Drop Box. WASHINGTON CONTACT INFORMATION: (P)425-257-8810 l(E)PermitServices@everettwa.gov l(W)everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: STREET 1517132nd St SE PARCEL#: 28053000408400 CITY Everett STATE WA ZIP 98208 SUITE/UNIT#: FLOOR#: ADDITIONAL LOCATION INFORMATION: TENANT/BUSINESS NAME(if non-residential): CONTACT INFORMATION OWNER NAME:Chase Bank OWNER MAILING ADDRESS: STREET 10 South Dearborn Flr 13 CITY Chicago STATE IL Zip 60603 OWNER PHONE:872.400.0071 OWNER EMAIL:Theodore.Foggy@Chase.com CONTRACTOR COMPANY NAME:Manzco Plumbing WA STATE CONTRACTOR LICENSE#(REQUIRED):MANZCP*926B8 CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 66002 CONTRACTOR ADDRESS: STREET PO BOX 822964 cITY Vancouver STATE WA zIP 98682 CONTRACTOR PHONE:3607728149 CONTRACTOR EMAIL:Mike@Manzcoplumbing.com PRIMARY CONTACT: ❑OWNER 0 CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:3607728149 Mike M a nzh u ra CONTACT EMAIL:Mike@manzcoplumbing.com PLUMBING PERMIT INFORMATION VALUATION OF WORK: $150,000 ASSOCIATED PERMIT#(if applicable):B2306-002 (Valuation shall include the prevailing fair market value of all labor,materials,and equipment needed to complete the work,whether actually paid or not.) BUILDING TYPE: ❑SFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: OCommercial ❑Accessory Structure DESCRIPTION OF WORK: Supply, Drains, vents and equipment for new retail consumer bank building PLUMBING PERMIT FIXTURE COUNT (SCOPE OF WORK) Fixture Fixture Count List of Fixtures Count List of Fixtures (Qty) (Qty) Backflow Prevention Device(Inside Building)-select devices below: Shower,Tub,or Combo Fire Service: ❑DCDA, Domestic Service: ❑RPBA❑DCVA Commercial Sink(3-compartment,prep,floor) Clothes Washer Residential Sink(kitchen,bath,bar) Dishwasher 2 Utility Sink(laundry,mop) 2 Drinking Fountain 2 Toilet 3 Floor Drain Urinal 2 Hose Bibb Waste/Water Pipe Repair Ice Maker Water Service Line(Behind meter,private side) Grease Interceptor Water Valves/Fixtures Sand/Oil Interceptor Water Heater-Electric Medical Gas Water Heater-Gas 3 Roof Drains 2 Other(List Type): Gas lines for RTU's Sewage Ejector Pump/Sump Pump 1 1 Other(List Type): ACKNOWLEDGEMENT:/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.1 am the owner,or 1 am authorized by the owner of this property to perform the work for which application is made, and/comply w'th he State Contractors Law 18.27 RCW and 296.200A WAC. City of Everett Official Use Only Digitally signed by Chuck Dougherty DN:C=US,E-CDougherty@PMDGinc.com,0="PM PERMIT# Chuck Dougherty Design Group,Inc.",CN=Chuck Dougherty 01/26/23 Reason:I am approving this document Date:2023.05.24 15 A5:00-07'00' Owner/Authorized Agent Signature Date (Revised 412112022)