6930 EVERGREEN WAY 2017-08-10 - Laserfiche WebLink

PERMIT APPLICATIOto BUILDING f MECHANICAL / PLUMBING / SIGN / SPRINKLER / DEMOLITION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT,WA 98201 (P)425-257-8810 1 FAX 425-257-8857 1 (E)everetteps@everettwa.gov I www.everettwa.gov/permits (Blue or Black Ink Only Please) ' PROJECT SITE INFORMATION PROJECT SITE ADDRESs-693C"EVERGREEN WAY PROPERTY TAX#: 28050700201100 LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: OLSON INVESTMENT & MANAGEMENT LLC TENANT NAME(If commercial): Quality Funding LLC OWNER MAILING ADDRESS: STREET 11506 TULARE WAY W, c,Tv MARYSVILLE, STATE WA zip 98271 OWNER PHONE: 425-418-1519 1OWNER EMAIL: BRIAN@a OIMLLC.NET CONTRACTOR NAME: Greg ROr710 - ROITlO Construction CONTRACTOR ADDRESS: STREET 12112 2nd Drive NE cm Marysville STATE WA zip 98271 CONTRACTOR PHONE: 425-501-5100 CONTRACTOR EMAIL: gregromoconstruction(c- gmail.com CONTRACTOR LICENSE#(REQUIRED): GREGRRC961 QA ICITY OF EVERETT BUSINESS LICENSE#(REQUIRED): PRIMARY CONTACT: 0 OWNER ❑ CONTRACTOR in OTHER(Please Specify) Designer - Sue Genty Interior Design, Inc. CONTACT NAME: CONTACT PHONE: 425-827-3438 Michelle J. Leszcynski CONTACT EMAIL: MICHELLE@SGIDINC.COM BUILDING PERMIT APPLICATION Existing Use of Building: Business - Offices Contract Price of Work: $ 20,500 Proposed Use of Building: Business - offices Heat Source: ❑Gas I—]Electric El Other Building Type: ❑SFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units: gCommercial ❑Industrial Type of Project: ❑New ❑Addition ❑Remodel ❑Repair eT.I. ❑Sign ❑Sprinkler ❑Demolition El Change of Use DESCRIPTION OF WORK: TENANT IMPROVEMENT TO INCLUDE NON BEARING INTERIOR PARTITION WALLS, RESTROOM BUILD OUTS,LIGHTING, FINISHES&FURNITURE. 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 #of #of #of Fixtures" ��t ° x res F' It ZJ 'x s Fixtures List of Fixtures FixturesLisf of Fixtures it .n t 1 Toilet Backflow Preventer(Inside Bldg) Forced Air Systems Unit Heater Bathtub Urinal R-il i Lavatory(Wash Basin) Drinking Fountain ter' e FZ'efri aton Shower Floor Drain it e Wood Stove Kitchen Sink&Disposal Grease Trap f pucting Dishwasher Roof Drains Clothes Dryer Hookups Other: Clothes Washer Medical Gas nNJWod Water Heater Other: u an I Sink (Service/Bar/Mop/etc.) Other: SPRINKLER / SUPPRESSION SYSTEM NA I 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 15v PERMIT#h� �0 i Owner/Authorized Agon Signat Date (Revised 9/23/ 016)