1101 INDUSTRY ST WESTERN PACIFIC BUILDING MATERIALS 2017-03-02

41ETTPERMIT APPLICATION BUILDING ECHANICAL / PLUMBING / SIGN ', ZINKLER / DEMOLITION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT,WA 98201 (P)425-257-8810 I FAX 425-257-8857 I (E)everetteps@everettwa.gov I www.everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: � 0'i r N'I'T sT?. f Sreee i PROPERTY TAX#:£•501.0t0030260 LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: M t x.14)L(v L4Z$>R V-. LL-c TENANT NAME(If Commercial): (kieS'f a'2t,) Il>rci (;re_ i3 "I OWNER MAILING ADDRESS: STREET V. p.T;49 1j ,�5 Z-5 CITY -i-.i� STATE 1/✓44 ZIP /f l 15 OWNER PHONE: 206 • 6Z.%• 1 6 q,..5- OWNER EMAIL: r, kgmrr-i er, & .'owe st ' 4- , corms CONTRACTOR NAME: 5 e4.1.Li t....)Ci- ' o..)0VA.-f1®d CONTRACTOR ADDRESS: STREET ( b$4 L is,pb0 -5-r 5e. CITY 00�7z... o r STATE LA.. A ZIP 9 g g-72 CONTRACTOR PHONE: 425:23'2-cr .-,SO CONTRACTOR EMAIL: SEN R e..LLi0el •7 1.1-o i Nd,IL.. co H CONTRACTOR LICENSE#(REQUIRED): gel-FL.J r-I* 06o KK CITY OF EVERETT BUSINESS LICENSE#(REQUIRED):054(18C) PRIMARY CONTACT: ❑ OWNER ❑CONTRACTOR f.21 OTHER(Please Specify) tNA v,..)1- CONTACT '—CONTACT NAME: CONTACT PHONE: 4.2$'„ 7-4 Z 519' t—i 7 72`ri,r:- 42sN''r ii---r CONTACT EMAIL: I:Z..0A.1-/t-i ege9 goc.)gs -p4 Corte BUILDING PERMIT APPLICATION Existing Use of Building: f,,u K-1 l0t•-1 / to A,12 f".r.j.05e. Contract Price of Work: $ 4Z', '-'7670- -- Proposed Use of Building: t•->0 fi4+4.-.., et 1= Heat Source: ❑Gas ❑Electric ❑Other Building Type: ESFR-Detached DSFR-Attached ❑Duplex ❑Multi-Family-#of Units: ❑Commercial CI Industrial Type of Project: ❑New ❑Addition ElRemodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: ( l).-2 r-A L l'_ e"ems--V-r d.. J3 ris.G TU 72 g Z) fL 6'1 B fl° -ll t 1.1'C 1 -1( -eQ 0 al 4 ep'Q-c9 D...fG7• C.CJaJ1ti E To j2 1dJ a`Ft 54002 H . Q''FA.crvre r rFJc( ?jl..S , ASSOCIATED BUILDING PERMIT#(if applicable): MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION Type of Project: _New _ Addn Alteration _Repair Type of Project: _New _Addn _Alteration _Repair #of List of Fixtures #of List of Fixtures #of List of Fixtures #of List of Fixtures Fixtures Fixtures Fixtures Fixtures A/C-Air Handling Units Heat Pump Toilet Backflow Preventer(Inside Bldg) Forced Air Systems Unit Heater Bathtub Urinal 8 Gas Piping Boiler Lavatory(Wash Basin) Drinking Fountain Water Heater Refrigeration Shower Floor Drain Gas Fireplace Wood Stove Kitchen Sink& Disposal Grease Trap Gas Range Ducting Dishwasher Roof Drains Clothes Dryer Hookups Other: Clothes Washer Medical Gas Range Hood i 4713(Z&1- '0054 Water Heater Other: Exhaust Fan I MIX '(Zoom Sink(Service/Bar/Mop/etc.) Other: SPRINKLER/ SUPPRESSION SYSTEM Number of Heads 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 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 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, and I comply with the State Contractors Law 18.27 RCW and 296.200A WAC. "" City of Everett Official Use Only n -).---17: els 04, 2(46 PERMIT # Ower/Authorized Agent Signature Date (Revised 5/20/2016) 'l2