1110 BROADWAY 2020-01-21 - Laserfiche WebLink

• PERMIT APPLICATION BUILDING/ MECHANICAL/PLUMBING /SIGN/SPRINKLER I 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: 1110 Broadway PROPERTY TAX#: 29051700205500 LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: WILLIAMS INVESTMENTS I LLC TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET 2517 Colby Ave CITY Everett STATE WA zip 98201 OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME: Setzer Plumbing CONTRACTOR ADDRESS: STREET 15617 Westwick Rd CITY Snohomish STATE WA ZIP 98290 CONTRACTOR PHONE: 360-568-9784 CONTRACTOR EMAIL: office@setzerplumbing.com CONTRACTOR LICENSE#(REQUIRED): CC SETZEP*825.JL CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): PRIMARY CONTACT: 0 OWNER CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:425-754-1517 Micah Setzer CONTACT EMAIL: office(setzerplumbinq.com BUILDING PERMIT APPLICATION Existing Use of Building: Contract Price of Work:$ Proposed Use of Building: Heat Source: El Gas ❑Electric ❑Other Building Type: ❑SFR-Detached ❑SFR-Attached. ❑Duplex ❑Multi-Family-#of Units: IRCommercial ['Industrial Type of Project: ONew ❑Addition Ira Remodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: c\o,L1.IA— 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 NC—Air Handling Units Heat Pump 2, Toilet Backflow Preventer(Inside Bldg) Forced Air Systems Unit Heater Bathtub Urinal Gas Piping Boiler 2, Lavatory(Wash Basin) Drinking Fountain � #e}✓' Refrigeration Shower Floor Drain Gas Fireplace Wood Stove t Kitchen Sink&Disposal Grease Trap Gas Range Ducting I Dishwasher Roof Drains Clothes Dryer Hookups Other: \ Clothes Washer Medical Gas Range Hood Water Heater ( Other: Nod 4 Chid l-+,c3tbrb Exhaust Fan ( Sink(Service/Bar/Mop/etc.) Other: SPRINKLER°I SUPPRESSION SYSTEM Chemical or Water No.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.t 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 UseOnly 47 Co-94- IT' PERMIT#e1�V( D 16. Owner/Authorized ent Signature Date (Revised 9/23/2016)