3000 ROCKEFELLER AVE COURTHOUSE 2025-06-23

EVERETT WASHINGTON PERMIT APPLICATION BUILDING IRECHANICAL / PLUMBING / SIGN /�RINKLER / DEMOLITION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P) 425-257-8810 i FAX 425-257-8857 i (E) everetteps@everettwa.gov I www.everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: Snoco RJD Building - Office TI PROPERTY TAX #: LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: Snohomish County Facilities TENANT BUSINESS NAME (Commercial): OWNER MAILING ADDRESS: STREET3000 Rockefeller Ave., M/S 404 CITY Everett STATE WA ZIP 98201 OWNER PHONE: 425-388-3381 OWNER EMAIL: L.gray@snoco.org CONTRACTOR NAME: Hermanson Company CONTRACTOR ADDRESS: STREET 1221 2nd Ave N CITY Kent STATE WA ZIP 98032 CONTRACTOR PHONE: 206-573-2023 CONTRACTOR EMAIL: klange@hermanson.com CONTRACTOR LICENSE #(REQUIRED): hermac1005bj CITY OF EVERETT BUSINESS LICENSE #(REQUIRED): 037262 PRIMARY CONTACT: ❑ OWNER [] CONTRACTOR ❑ OTHER (Please Specify) CONTACT NAME: Kimberly Lange CONTACT PHONE:206-573-2023 CONTACT EMAIL: klange@hermanson.com BUILDING INFORMATION Existing Use of Building: Contract Price of Work: $ 3,000 Proposed Use of Building: I Heat Source: []Gas ❑Electric ❑Other BUILDING USE: ❑SFR ❑Townhouse ❑Duplex ❑ADU ❑Multi -Family - # Units: ❑Commercial ❑Accessory Structure Type of Project: ❑New ❑Addition ❑✓ Remodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: Move air diffusers and return air ducts. 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 I) Hose Bibb Urinal Exhaust Hood (Type ll) Water Heater Interceptor -Grease Waste/Water Piping Repair Exhaust Hood (Residential) Wood Stove Interceptor-Sand/Oil Water Service (behind meter) Forced Air Systems Other: I Users I Medical Gas Water Valves or Fixtures Gas Fireplace/Insert/Log Return Ducts Roof Drains Water Heater SPRINKLER / SUPPRESSION SYSTEM Sewage Ejector or Sump Pump Other: Water Suppression System No. of Heads Chemical Suppression System INC. 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 comply with the State Contractors Law 18.27 RCW and 296.200A WAC. Signature T29/19 Date City of Everett Official Use Only PER T#14q 01, (Revised 1011012018)