6311 36TH AVE W JBC PRODUCT MANAGEMENT 2018-09-12

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 1 www.everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: 6311 36TH AVE W BLDG B PROPERTY TAX#: 28040300401400 LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: POWDERMILL PH1 TENANT NAME(If Commercial):JBC Product Management OWNER MAILING ADDRESS: STREET 6840 FORT DENT WAY,SUITE 350 ciTY SEATTLE STATE WA zip 98188 OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME: State Mechanical CONTRACTOR ADDRESS: STREET 8706 S 222nd St CITY Kent STATE WA zip 98031 CONTRACTOR PHONE:206-575-7527 CONTRACTOR EMAIL: stevec@statemech.net CONTRACTOR LICENSE#(REQUIRED): STATEMC141C7 CITY OF EVERETT BUSINESS LICENSE#(REQUIRE : 030329 PRIMARY CONTACT: ❑OWNER ®CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: Steve Carney CONTACT PHONE: 206-575-7527 CONTACT EMAIL:stevec@statemec BUILDING PERMIT APPLICATION Existing Use of Building: Contract Price of Work: 18 980.00 Proposed Use of Building: Heat Source: ❑Gas ❑Electric ❑Other Building Type: ❑SFR-Detached ttac lex ❑Multi-Family-#of Units: ®Commercial ❑Industrial Type of Project: ❑Newdition ❑Remodel []Repair I. ❑Sin []Sprinkler emolition ❑Chan e of Use DESCRIPTION OF WOR .To plumb and install: 1 Sink ASSOCIATED BUILDINGP9Mi7#if a licable : MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION Type of Project: _New _ Addn Alteration ZRepair Type of Project: New _Addn X Alteration Repair #of List of Fixtu #of r List of Fixtures #of List of Fixtures #of List of Fixtures r s Fixtures Fixtures Fixtures Fixtures A/C—Air Handlin nits , Heat Pump Toilet Backflow Preventer(Inside Bldg) Forced Air Systems Unit Heater Bathtub Urinal Gas Piping Boiler Lavatory(Wash Basin) 1 Drinking Fountain Water Heater Refrigeration Shower Floor Drain Gas Fireplace 17 Wood Stove 1 Kitchen Sink&Disposal Grease Trap Gas Rance Ducting Dishwasher Roof Drains Clothes Dryer Hoo 4ps Other: Clothes Washer Medical Gas Range Hood 1 Water Heater Other: Exhaust Fan Sink(Service/Bar/Mop/etc.) Other: SPRINKLER/SUPPRESSION SYSTEM Chemical or Water I I 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. 1 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 qq- —,,�� rr,A,,^,,T�ee,,,, PERMI 1hflAAJ" C '"4 4/26/17 Owner/Authorized Agent Signature Date (Revised 912312016)