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OLT PERMIT APPLICATION <br /> BUILDING ECHANICAL / PLUMBING / SIGN i RINKLER/ DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICL, <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> (P)425-257-8810 I FAX 425-257-8857 I (E)everetteps@everettwa.gov I www.everettwa.gov/permits <br /> (Blue or Black Ink Only Please) PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS:2600 W Casino RD, Everett, WA 98204 PROPERTY TAX#: 0074781 <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME: Frontier Communications TENANT NAME(If Commercial):Aviation Tech Services <br /> OWNER MAILING ADDRESS: STREET 2610 W Casino RD <br /> CITY Everett STATE WA ZIP 98275 <br /> OWNER PHONE: OWNER EMAIL: <br /> CONTRACTOR NAME. Davis Schueller INC. <br /> CONTRACTOR ADDRESS: STREET 4601 Chennault Beach RD, Suite 200 <br /> Mukilteo STATE WA ZIP 98275 <br /> CONTRACTOR PHONE: 425-775-9400 CONTRACTOR EMAIL: bhaskett@davisschueller.com <br /> CONTRACTOR LICENSE#(REQUIRED): DAVISSI1 05PN CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): <br /> PRIMARY CONTACT: 0 OWNER 0 CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: Bill Haskett CONTACT PHONE: 425-775-9400 <br /> CONTACT EMAIL: bhaskett@davisschueller.com <br /> BUILDING PERMIT APPLICATION <br /> Existing Use of Building: B/F-1 Contract Price of Work: $ 20,000 <br /> Proposed Use of Building: No Change Heat Source: ❑Gas DElectric ❑Other <br /> Building Type: ❑SFR-Detached ❑SFR-Attached ❑Duplex OMulti-Family-#of Units: _ Commercial ❑Industrial <br /> Type of Project: ❑New ❑Addition DRemodel ❑Repair T.I. ❑Sign ❑Sprinkler ❑Demolition ElChange of Use <br /> DESCRIPTION OF WORK: <br /> The scope of work is an addition of two interior offices on the second floor of the existing office building. <br /> This includes new partitions, r- a '• • . • ''•, : e ev• e•tt <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type of Project: 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 /> Number 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. I 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 /> PERMIT# <br /> 08-19-2016 [ ken— 6)S'2 <br /> Ow er/Authorized Agent Signature Date (Revised 5/20/2016) <br />