915 N BROADWAY WSU 2018-11-21 - Laserfiche WebLink

PERMIT APPLICATION BUILDING /�CHANICAL / PLUMBING / SIGN / �INKLER/ DEMOLITION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT,WA 98201 (P)425-257-8810 � FAX 425-257-8857 �(E)everetteps@everettwa.gov� www.everettwa.gov/permits PROJECT SITE INFORMATION PROJErT SITE ADDRESS: g1 1 N. Broadway PROPERTY TAX#: 0059381800400 LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: Washington State University TENANT NAME(If Commercial): OWNEF�MAILING ADDRESS: sTReeT 14204 Salmon Creek cirv Vancouver sTaTE WA ZiP 98686 OWNER PHONE: Jessie Steiger OWNER EMAIL: jessiesteiger@wsu.edu CONTR.ACTOR NAME: McKinstry Co. CONTR.ACTOR ADDRESS: srReeT 5005 3rd Ave. S. ciTv S2attle sTnrE WA ziP 98134 CONTR.4CTOR PHONE: (206) 762-3311 CONTRACTOR EMAIL: corporateoffice�mckinstry.com CONTR,4CTOR LICENSE#(REQUIRED): MCKINCL942DW CITY OF EVERETT BUSINESS LICENSE#(REQUIRED):O4g226 PRIMAFY CONTACT: ❑ OWNER CONTRACTOR ❑ OTHER(Please Specify) CONTACT NAME: Jim Thomas CONTACT PHONE: (206) 763-4819 CONTACT EM,4��: permits�mckinstry.com BUILDING PERMIT APPLICATION Existing Use of Building: Contract Price of Work: $ Proposed Use of Building: Academic university building Heat Source: ❑Gas ❑Electric ❑Other Building Type: ❑SFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units: Commercial ❑Industrial Type of Project: dNew ❑Addition ❑Remodel ❑Repair ❑T.I. ❑Sign I�Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: Provid� sprinkler protection in accordance with NFPA 13, 2013 Edition for wet sprinkler systems. Provide a 6" vertical in-line pump to supplement city water supply in accordance with NFPA 20, 2013 Edition. ASSOCIATED BUILDING PERMIT#(if applicable): MIECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION Type of Project: _New _ Addn _Alteration _Repair Type of Project: _New _Addn _Alteration _Repair #of ��st of Fixtures #of List of Fixtures #of Lisf of Fixtures #°f 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: �PRINKLER/ SUPPRESSION SYSTEM 1,204 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 fecleral,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/comply with th State Contractors Law 18.27 RCW and 296.200A WAC. Ciry of Everett Official Use Only � �� /� PERMIT# I�h �L v � O ner/Authorized Agent Signature Date , (Revised 10/12/2015) t fZ