6200 23RD DR W TEAGUE 2017-04-10

04r4-77- PERMIT APPLICATION BUILDIMfMECHANICAL I PLUMBING / SIGCPRINKLER I DEMOLITION TY OF EVERETT PERMIT SER (�7 p ttlp CSTREET, EVERETT,WA 98201 P� 757 80 �FAJC 4 \r "2_CITY (E)everetteps@everettwa.gov I www.everettwa.gov/permits PROJECT SITE INFORMATION PROJECT SITE ADDRESS: PROPERTY TAX#: 6200 23rd Drive West2,3:24.-.:2C:.;30030C LEGAL for new construction: Short Plat/subdivision_ Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: Boeing TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET PO Box 3707 CITY Seatt. STATE WA ZIP 98124 OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME: Hermanson CONTRACTOR ADDRESS: STREET 1")%1 2n., Ave N CITY Kent STATE WA zIP 98032 CONTRACTOR PHONE: 2065759700 CONTRACTOR EMAIL: tanderson@hermanson.corn CONTRACTOR LICENSE#(REQUIRED): 1-f (7 G(-go SEs" CITY OF EVERETT BUSINESS LICENSE#(REQUIRED):03'7 Z102— PRIMARY CONTACT: 0 OWNER ❑ CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: Terese Anderson CONTACT PHONE: 206-200-7804 CONTACT EMAIL: tanderson@hermanson.cam BUILDING PERMIT APPLICATION Existing Use of Building: Office Contract Price of Work: $ 8500 Proposed Use of Building: Heat Source: ❑Gas ❑Electric ❑Other Building Type: ❑SFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units: Commercial CI Industrial Type of Project: ❑New ❑Addition CI Remodel ❑Repair ElT,I. 12 Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: Demo of two (2) water closets and two (2) lays. All waste lines to be capped at the slab. Demo of ductwork and diffusers. 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 eFixtures List of Fixtures Fixtures List of Fixtures F/xtures List of Fixtures Fixtures List of Fixtures A/C-Air Handling Units Heat Pump 7j Toilet Backflow Preventer(Inside Bldg) Forced Air Systems Unit Heater Bathtub Urinal 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: 0-"( tc.,0c Clothes Washer Medical Gas Range Hood Water Heater Other: Exhaust Fan 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 PERMIT# e�>- X(& 4 001-1 Owner/Authorized Agent Signature Date (Revised 10/12/2015)