Laserfiche WebLink
� <br />� <br />- • <br />PERMIT <br />i <br />APPLICATION <br />BUILDING/MECHANICAL/PLUMBING/SIGN/SPRINKLER/DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everett, WA 98201 425-257-8810 FAX 425-257-8857 www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM %2 ��Q —�' <br />ITE ADDRESS: Family Tree Apts. - Community Building PROPERTY TAX # 2g051900100200 PE MIT # <br />10110 19th Ave SE #R200 Everett, WA 98208 � I� f; R-�? �.-� <br />LEGAL for new construction: Short PlaUsubdivision n/a <br />OWNER Mercy Housing NW <br />Address 2505 Third Avenue <br />Lot No. (attach copy of long legal description) <br />PhonelE-mail (206) 838-5700 x 19 contact: Alisa Luber <br />City/State/Zip Seattle, WA 98121 <br />VT: _ Owner X Owner's Agent _ Contractor _ Contractor�S AgBflt _ T2f18f11 (musl provide a letter of consent from the owner lo do work in the space) <br />�TOR Buchanan General Contracting Co. �& I �ic. # BUCHAGC159CF COE Bus. Lic. # T.B.D. <br />PO Box 40069, Bellevue 98015 Phone/Email �425) 462-1326 Casey@buchanangc.com <br />BUILDING PERMIT APPLICATION <br />CONTACT FOR PERMIT <br />Tim Quinn - Tonkin Architects 206 816-4400 cell <br />Phone/E-mail 206 624 7880 x117 office timq@thl-arch.com <br />CONTRACT PRICE OF WORK �^�� i.,'y :,a�� <br />---�-,��� , <br />Existing Use of Building R-2 Multifamily Residential <br />Proposed Use of Building R-2 Multifamily Residential <br />Building type: _ Single Family _ Duplex _Townhouse X Multi-Family _ Commercial <br />Type of project: New Addition Remodel Repair X T.I. _ Sign _Sprinkle <br />DESCRIPTION OF WORK (additional space provided on the back) : <br />New exterior siding only: remove existing vinyl siding and replace with new cementitous siding. <br />MECHANICAL PERMIT APPLICATION <br />of Project: _New _Addn _Alteration _Repair <br />Show Number (#) of fixtures <br />A/C — air handlin units <br />Forced air s stems <br />Gas piping <br />Water heater <br />Gas fireplace <br />Gas ranae <br />Range hood <br />Exhaust fan <br />Heat pump <br />Unit heater <br />Refrigeratio <br />Woodstove <br />� Other <br />SPRINKLER / SUPPRESSION SYSTEM <br />Number of Heads <br />HEAT SOURCE: <br />Gas Electric X Other <br />of Use <br />PLUMBING PERMIT APPLICATION <br />Type of Project: _New _Addn _Alteration _Repair <br />Show Number I#1 of fixtures <br />Bathtub <br />Lavatory (wash basin <br />Shower <br />Kitchen sink & dispos <br />Dishwasher <br />Clothes washer <br />Water heater <br />Sink (service/bar/moF <br />Backflow preventer <br />Urinal <br />Drinking Fountain <br />Floor drain <br />Grease trap <br />Roof drains <br />Medical Gas <br />Other: <br />Other: <br />I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied <br />with whether specifed herein or not. The granting of a permit does not presume to give authority to violate or cancel the provision of any other state or local law regulating construction <br />That I am authorized by the owner of this property to pertorm the work for which application is made and I comply with the State Contractors Law 18.27 RCW and 296.200A WAC. <br />�l� <br />Owner/Authorized Agent Signature <br />Date <br />(Revised 6/2012) <br />