Laserfiche WebLink
0 PERMIT APPLICATION* <br /> BUILDING / MECHANICAL/ PLUMBING / SIGN / SPRINKLER / DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> OL 3200 CEDAR STREET, EVERETT,WA 98201 <br /> (P)425-257-8810 1 FAX 425-257-8857 1(E)everetteps@everettwa.gov I www.everettwa.gov/permits <br /> (Blue or Black Ink Only Please) PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS: 6920 SEAWAY BLVD PROPERTY TAX#: 280411 00200500 <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME: FLUKE TENANT NAME(If Commercial): FLUKE <br /> OWNER MAILING ADDRESS: STREET 6920 SEAWAY BLVD <br /> cm EVERETT STATE WA zip 98203 <br /> OWNER PHONE: 425-347-6100 OWNER EMAIL: JAMES.GRACEY@UNISPACE.COM <br /> CONTRACTOR NAME: GS MECHANICAL <br /> CONTRACTOR ADDRESS: STREET PO Box 65 <br /> clTv REDMOND STATE WA ZIP 98073 <br /> CONTRACTOR PHONE: 206-372-0332 CONTRACTOR EMAIL: greg@gsmechanicalshop.com <br /> CONTRACTOR LICENSE#(REQUIRED): GSMECML928RK CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 047137 <br /> PRIMARY CONTACT: ❑ OWNER jZ CONTRACTOR ❑OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 206-372-0332 <br /> GREG SMALLING CONTACT EMAIL: greg@gsmechanicalshop.com <br /> BUILDING PERMIT APPLICATION <br /> Existing Use of Building: Contract Price of Work: $ <br /> Proposed Use of Building I Heat Source: []Gas ❑Electric ❑Other <br /> Building Type: ❑SFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Famil -#of Units: ❑Commercial ❑Industrial <br /> Type of Project: ❑New ❑Addition ❑Remodel ❑Repair ❑T.l. ❑Sign []Sprinkler ❑Demolition ❑Change of Use <br /> DESCRIPTION OF WORK: <br /> HUB DRAIN FOR WATER DISPENSER <br /> ASSOCIATED BUILDING PERMIT# if a licable <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type of Project: Now 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 1 Other:HUB DRAIN FOR WATER DISPENSER <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/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 /> �"�-- <br /> __ 8.18.17 PERMIT# <br /> Owner/Authorized Agent Signature Date (Revised 9/23/2016) <br />