9931 19TH AVE SE 2017-09-25 - Laserfiche WebLink

• PERMIT APPLICATION BUILDING / MECHANICAL/ PLUMBING / SIGN / SPRINKLER / DEMOLITION CITY OF EVERETT PERMIT SERVICES OL 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: 9931 19th Ave.SE PROPERTY TAX#: 1500768 LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: BP WEST Coast Products LLC#07028 TENANT NAME(If Commercial): ARCO OWNER MAILING ADDRESS: STREET 30 South Wacker Drive, Suite 900 Cin' Chicago STATE IL ZIP 60606 OWNER PHONE: 847-345-7112 OWNER EMAIL: CONTRACTOR NAME: Meyer Sign and Advertising CONTRACTOR ADDRESS: STREET 2608 Highway 99 South CITY Mount Vernon STATE WA ZIP 98273 CONTRACTOR PHONE: 360-424-1325 CONTRACTOR EMAIL: stefanie@meyersign.com CONTRACTOR LICENSE#(REQUIRED):MEYERSA038QE, MEYERSC012C4 CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 28089 PRIMARY CONTACT: ❑ OWNER ❑ CONTRACTOR ®OTHER(Please Specify) Agent CONTACT NAME: CONTACT PHONE: 760-803-1369 Cathy Suhovecky CONTACT EMAIL: p2u@usa.com-Ross McArthur BUILDING PERMIT APPLICATION Existing Use of Building: Gas Station Contract Price of Work:$ 19,640 Proposed Use of Building: Same Heat Source: ❑Gas ❑Electric ❑Other Building Type: ❑SFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units: ❑Commercial ❑Industrial Type of Project: ❑New ❑Addition ❑Remodel ❑Repair ❑T.I. ®Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: Reface existing MID sign 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 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 Water Heater Other: Exhaust Fan Sink(Service/Bar/Mop/etc.) Other: SPRINKLER/ SUPPRESSION SYSTEM Chemical or Water I No. of Heads ACKNOWLEDGEMENT.t 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 See Attached LOA 3/22/17 1 .7 Owner/Authorized Agent Signature Date (Revised 9/23/2016)