Laserfiche WebLink
_ PERMIT APPLICATIOV <br /> BUILDING , MECHANICAL/PLUMBING /SIGN / SPRINKLER/ DEMOLITION <br /> EVERETT CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> WASHINGTON (P)425-257-8810 1 FAX425-257-8857 1(E)everetteps@everettwa.gov I www.everettwa.gov/permits <br /> (Blue or Black Ink Only Please) PROJECT SITE INFORfAATION <br /> PROJECT SITE ADDRESS:3003 West Casino Rd, Everett, WA 98204 '� PROPERTY TAX#: <br /> LEGAL for new construction: Short Plat/subdivision tCj Lot o4t attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME: The Boeing Company TENANT BUSINESS NAME(Commercial): The Boeing Company <br /> OWNER MAILING ADDRESS: STREET737 Logan Ave N <br /> CITY STATE WA ZIP 98055 <br /> OWNER PHONE: N.A. OWNER EMAIL:N.A. <br /> CONTRACTOR NAME:Hermanson Company <br /> CONTRACTOR ADDRESS: STREET 1221 2nd Ave N <br /> CITY Kent STATE WA ZIP 98032 <br /> CONTRACTOR PHONE:206-305-9238 CONTRACTOR EMAIL:N.A. <br /> CONTRACTOR LICENSE#(REQUIRED):HERMACLO05BJ CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 37262 <br /> PRIMARY CONTACT: ❑OWNER 121 CONTRACTOR ❑OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE:206-305-9238 <br /> Lyndsi Foster CONTACT EMAIL:Ifoster@hermanson.com <br /> BUILDING INFORMATION <br /> Existing Use of Building:Commercial Contract Price of Work:$15,978 <br /> Proposed Use of Building:Commercial Heat Source: ❑Gas ❑Electric ❑Other <br /> BUILDING USE: ❑SFR ❑Townhouse []Duplex ❑ADU ❑Multi-Family-#Units: ❑✓Commercial []Accessory Structure <br /> Type of Project: ZNew ❑Addition ❑Remodel ❑Repair [IT.]. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use <br /> DESCRIPTION OF WORK: Add domestic Cold water line to restroom trailer water system. <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Fixture <br /> i t ur count List of Fixtures Fixture Fixture <br /> List of Fixtures Count List of Fixtures Count List of Fixtures <br /> A/C—Air Handling Units Gas Piping Backflow Preventer(Inside Bldg) Shower,Tub,or Combo <br /> Boiler Gas Range Clothes Washer Sink-Commercial(3-comp,prep,floor) <br /> Clothes Dryer Heat Pump&Ductless Dishwasher Sink-Residential(kitchen,bath,bar) <br /> Duct System(Remodel) Refrigeration Drinking Fountain Sink-Utility,laundry,mop <br /> Exhaust Fans(Residential) Commercial Ventilation Floor Drain Toilet <br /> Exhaust Hood(Type 1) (Not Heat/AC system) Hose Bibb Urinal <br /> Exhaust Hood(Type 11) Water Heater Interceptor-Grease Waste/Water Piping Repair <br /> Exhaust Hood(Residential) Wood Stove Interceptor-Sand/Oil Water Service(behind meter) <br /> Forced Air Systems Other: Medical Gas Water Valves or Fixtures <br /> Gas Fireplace/Insert/Log Roof Drains Water Heater <br /> SPRINKLER/SUPPRESSION SYSTEM Sewage Ejector or Sump Pump 1 Other. Water line <br /> Water Suppression System INo.of Heads <br /> Chemical Suppression System 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.l am the owner,or I am authorized by the owner of this property to perform the work for which application is made, <br /> and l comply with the State Contractors Law 18.27 RCW and 296.200A WAC. <br /> City of Everett Official Use Only <br /> 12MA9 I <br /> PE V� 2 - CEO <br /> ll <br /> OW er/A size Agent Signature Date (Revised 1011012018) <br /> i <br />