Laserfiche WebLink
PERMIT APPLICATION - <br /> BUILDING /MECHANICAL/ PLUMBING / SIGN / SPRINKLER/ DEMOLITION <br /> OL <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@everettwa.gov I www.everettwa.gov/permits <br /> (Blue or Black Ink Only Please) PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS:17 East Marine View Drive N�` PROPERTY TAX#:29050800102100 <br /> LEGAL for new construction: Short Plat/subdivision 2009-004 Lot No. (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME: Cadman, Inc. TENANT BUSINESS NAME(Commercial): <br /> OWNER MAILING ADDRESS: STREET 7554 185th Ave NE <br /> CITY Redmond STATE WA Zip 98052 <br /> OWNER PHONE: 604-269-6525 OWNER EMAIL:Daniel.LeBlond@lehighhanson.com <br /> CONTRACTOR N E:To Bid <br /> CONTRACTOR AD ESS: STREET <br /> CITY STATE ZIP <br /> CONTRACTOR PHONE: CONTRACTOR EMAIL: <br /> CONTRACTOR LICENSE#(REQUIRED): CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): <br /> PRIMARY CONTACT: 0 OWNER ❑CONTRACTOR ❑OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE:604-269-6525 <br /> Daniel LeBlond CONTACT EMAIL:Daniel.LeBlond@lehighhanson.com <br /> BUILDING INFORMATION <br /> Existing Use of Building:N/A Contract Price of ork:$ S/$ O IXQ <br /> Proposed Use of Building:Soil Remediation Recycling Facility Heat Source: ❑Gas 's-094He <br /> BUILDING USE: ❑SFR ❑Townhouse []Duplex ❑ADU ❑Multi-Family-#Units: ZCommercial ❑Accessory Structure <br /> Type of Project: ONew ❑Addition ❑Remodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use <br /> DESCRIPTION OF WORK: Soil Remediation recycling facility operated by Cadman, Inc. The use of this structure is to house <br /> soil remediation facility including the thermal desorption unit, and a storage area for treated soil. <br /> ASSOCIATED BUILDING PERMIT# if applicable): <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Fixture Fixture Fixture Fixture <br /> Count List of Fixtures Count List of Fixtur Count List of Fixtures List of Fixtures <br /> Count <br /> A/C—Air Handling Units Gas Pipin Backflow Preventer(Inside Bldg) Shower,Tub,or Combo <br /> Boiler Gas 521fge Clothes Washer Sink-Comm cial(3-comp,prep,floor) <br /> Clothes Dryer H PumpBDuctless Dishwasher Sink-R i ential(kitchen,bath,bar) <br /> Duct System(Remodel) efrigeration Drinking Fountain i -Utility,laundry,mop <br /> Exhaust Fans(Residential) Commercial Ventilatior Floor Drain Toilet <br /> Exhaust Hood(Type 1) (Not Heat/AC system) Hose Bibb Urinal <br /> Exhaust Hood(Type IIV Water Healer Interceptor-Grease Waste/Water Piping Repair <br /> Exhaust Hood(Res' ential) Wood Stove Interceptor-Sand/Oil Water Service(behind meter) <br /> Forced Air Systpr6s Other: Medical Gas Water Valves or Fixtures <br /> Gas Firepla Insert/Log Roof Drains Water Heater <br /> SPRIN ER/ SUPPRESSION SYSTEM Sewage ector or Sump Pump Other: <br /> Water Suppression System No.of Heads <br /> Chemical Suppression System INo.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.1 am the owner,or I am authorized by the owner of this property to perform the work for which application is made, <br /> and I comply with the State Contractors Law 18.27 RCW and 296.200A WAC. <br /> City of Everett Official Use Only <br /> P <br /> Zz//y �� <br /> Owner/Authorized Agent Signature Date (Revised 1011012018) <br />