Laserfiche WebLink
PERMIT APPLICATION I ►Z``� ®�`1 <br /> BUILDING / MECHANICAL/ PLUMBING / SIGN / SPRINKLER/ DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> OL 3200 CEDAR STREET,EVERETT,WA 98201 <br /> (P)425-257-8810 1 FAX 425-257-8857 1(E)everetteps@everettwa.gov 1 www.everettwa.gov/permits <br /> (Blue or Black Ink Only Please) PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS: 6400 MERRILL CREAK PKWY PROPERTY TAXM'2ec GGCC�7Ll GCS <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME: CINTAS TENANT NAME(If Commercial): CINTAS <br /> OWNER MAILING ADDRESS: STREET N/A <br /> CITY STATE ZIP <br /> OWNER PHONE: OWNER EMAIL: <br /> CONTRACTOR NAME: UNIVERSAL REFRIGERATION <br /> CONTRACTOR ADDRESS: STREET 4102 B PL. NW. <br /> cry AUBURN STATE WA ZIP 98001 <br /> CONTRACTOR PHONE: (253) 939-5501 CONTRACTOR EMAIL: @UNIVERSALREFRIG.COM <br /> CONTRACTOR LICENSE#(REQUIRED): UNIVERI159RF CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 027645 <br /> PRIMARY CONTACT: ❑OWNER El CONTRACTOR ❑ OTHER(Please Specify) <br /> CONTACT NAME: AIDAN WILSON CONTACT PHONE: (253) 939-5501 <br /> CONTACT EMAIL: DESIGN @UNIVERSALREFRIG.COM <br /> BUILDING PERMIT APPLICATION <br /> Existing Use of Building: WAREHOUSE Contract Price of Work:$ 43,000 <br /> Proposed Use of Building: Heat Source: INGas El Electric ❑Other <br /> Building Type: ❑SFR-Detached ❑SFR-Attached []Duplex ❑Multi-Family-#of Units: ®Commercial ❑Industrial <br /> Type of Project: ®New ❑Addition []Remodel ❑Repair ❑T.I. []Sign ❑Sprinkler ❑Demolition ❑Change of Use <br /> DESCRIPTION OF WORK: REMOVE & REPLACE (2) ROOFTOP PACKAGE UNITS WITH SAME LIKE AND KIND. <br /> ASSOCIATED BUILDING PERMIT# if applicable): B1904-031 <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type of Project: X New Addn Alteration Repair Type of Project: _New _Addn _Alteration _Repair <br /> #of List of Fixtures #of List of Fixtures #of List of Fixtures #of List of Fixtures <br /> Fixtures Fixtures Fixtures Fixtures <br /> A/C—Air Handling Units Heat Pump Toilet Backflow Preventer(Inside Bldg) <br /> Forced Air Systems Unit Heater Bathtub Urinal <br /> Gas Piping Boiler Lavatory(Wash Basin) Drinking Fountain <br /> Water Heater Refrigeration Shower Floor Drain <br /> Gas Fireplace Wood Stove Kitchen Sink&Disposal Grease Trap <br /> Gas Range Ducting Dishwasher Roof Drains <br /> Clothes Dryer Hookups Other: Clothes Washer Medical Gas <br /> Range Hood Water Heater Other: <br /> Exhaust Fan Sink(Service/Bar/Mop/etc.) Other: <br /> SPRINKLER/ SUPPRESSION SYSTEM <br /> Chemical or Water I I No.of Heads <br /> ACKNOWLEDGEMENT./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 1 am authorized by the owner of this property to perform the work for which application is made, <br /> and 1 comply with the State Contractors Law 18.27 RCW and 296.200A WAC. <br /> Digitally signed by Aidan Wilson City of Everett Official Use Only <br /> A i d a n Wilson DN:cn=Aldan Wilson,o,ou, PERMIT# <br /> email=Arwilson@Live.com,c=US _ D✓ <br /> Date:2019.07.12 09:25:06-0700' 11/5/21 <br /> Owner/Authorized Agent Signature Date (Revised 912312016) <br /> /Z— <br />