Laserfiche WebLink
1 <br /> I Building #944 � <br /> PERMIT APPLICATION <br /> BUILDING/MECHANICAL I PLUMBING !SIGN / . INKLER/DEMOLITION <br /> CITY OF EVERETT PERMIT SERVIGES <br /> 3200 CEDAR STREET,EVERETT,WA 98201 <br /> (P)425-257-8810 � FAX 425-257-8857 �(E)everetteps@everettwa.gov� www.everettwa.gov/permits <br /> (Blue or Black Ink Only Please) PRCJECT SITE INFORMATIQN <br /> PROJECT SITE ADDRESS: 900 W Casino RD, Everett, WA 98204 PROPERTY TAX#: 00392100000401 <br /> LEGAL for�ew construction: Short PlaUsubdivision Lot No. (attach copy of long legal descriptian) <br /> CONTACT INFORMATION <br /> OWNER NAME: Trailside Preservation LP TENANT NAME(!f Commercfal): <br /> OWNER MAIUNG ADDRESS: S�E� 21515 Hawthorne BLVD. Suite 390 <br /> �,� Torrance STA,� WA �� 90503 <br /> OWNER PHONE: 310-802-6682 OWNER EMAIL: Nick Preservation artners.or <br /> coNrw►croR NaMe: Holmberg Company <br /> CONTRACTOR ADDRESS: sTaeer 1128 8th st <br /> �� Kirkland STATE WA Z� 98033 <br /> CONTRACTOR PHONE: CONTRACTOR EMAIL: <br /> CONTRACTOR LICENSE#(RE4UIRED): HOLMBC*066ME CITY OF EVERETT BUSINESS LICEN$E#{REQUIRED): OrJ�003 <br /> PRIMARY CQNTACT: ❑OWNER �CONTFtACTOR ❑OTHER{Please Specify) <br /> CONTACT NAME: JaCOb KI@ICt CONTACT PHONE: 425-602-7370 <br /> CONTACT EMAIL: J��OIJK�IIOIt't'tb@C CO.com <br /> BUILDING PERMIT APPLICATION <br /> Existin Use of Buildin : Contract PNce of W :�'2100 <br /> Pro sed Use of Buildin : Heat Source: �Ga DEIe ' ❑Other <br /> Buildin T e: ❑SFR-Detached ❑SFR-Attached ❑Du lex ❑Multi-Famil �of Units: ❑Commercial ❑Industrial <br /> T of Pro'ect: ONew �Addition ORemodel ❑Re air ❑T.I. ❑Si n ❑S rinkler ❑Demolition ❑Chan e of Use <br /> DESCRIPTION OF WORK: �G�p`� �.�� ���(J,�.�� �N�� �� l� � �+ _,�•o�' <br /> GhG`��, � ��`{ <br /> ASSOCIATED BUILbING PERMIT# if a licable : <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPI.ICATION <br /> Type of Project: New Addn X Alteration _Repair Type of Projectt New _Addn Altaration _Repalr <br /> #of List of Fixtures #of �st of Fixtures #of List of Fixtures #°f List of Fixtures <br /> Fixtures Fixtures Fixtures FGrtures <br /> A1C—Air Handlin Units Heat Pump Toilet Backflow Rreventer Inside Bld <br /> Forced Air 5 tems Unit Heater Bathtub Urinal <br /> Gas Pi in oiler Lavato ash Basin Drinki Fountain <br /> Water Heater R fri eration Shower Fiaar Drain <br /> Gas Fire lace W d Stove Kitchen Sink&Dis osal Grease Tra <br /> Gas Ran e Du in Dishwasher Roof Drains <br /> Clothes D er Hooku s Ot r: Clothes Washer Medical Gas <br /> Ran e Hood Water Heater Other: <br /> Exhaust Fan Sink{Service/BadMo /etc. Other: <br /> SPRINKLER/SUPPRESSIGN SYSTEM <br /> Chemical or Water No.of Heads <br /> ACKNOWLEDGEMENT.�!have raviewed thls appffcation end con�rrm the informaUon co»fafned herefn!s true and conect.Work done pursuant to this pannft must comply wkh <br /> cuirent/ederal,state,and local law. The grenting of a permit only authorizes approved work and no deviations therefrom.Deviatlons must first be euthorized in wrrting fiom the <br /> Building Official before being authorized under any circumstance.1 am the oivner,or!am authorized by the owner of thls properfy to perform the work for whJch application is made, <br /> and/comply with the State Contractors Law 18.27 RCW and 296.200A Wi9C. <br /> City oiEverett OSicial Use Only <br /> G���. �/�� PERMIT# � � O � <br /> Owner/Authorized As�ent Sipnature Date (Revised 9/23/2016) <br />