998 W CASINO RD 2018-06-07 - Laserfiche WebLink

PERMIT APPLICATIOI" ' BUILDING-CHANICAL/ PLUMBING /SIGN I' IRINKLER/ DEMOLITION w V. CITY OF EVERETT PERMIT SERVICES 32 00 CEDAR STREET,EVERETT,WA 98201 (P)425-257-8810 l FAX 425-257-8857 l(E)everetteps@everettwa.gov 1 www.everettwa.gov/permits ifi to x�la tin , ® a PROJECT SITE ADDRESS: 900 W Casino RD ° /fI PROPERTY TAX#: 003921-000-004-01 LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) EnAnSr A1"a:�s'*rM1 vm t .r- MMV I ca' Y.:: x,-a-..aarifif OWNER NAME: Parkside Acquisition Preservation TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET 21515 Hawthorne BLVD STE 395 ciTr Torrance STATE CA DP 90503 OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME: Holmberg Co. CONTRACTOR ADDRESS: STREET 1128 8th St E CITY Kirkland STATE WA ZIP 98033 CONTRACTOR PHONE: 4258222233 CONTRACTOR EMAIL: JacobK@holm11bergco.COm CONTRACTOR LICENSE#(REQUIRED): HOLMBC*066ME CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 051 003 PRIMARY CONTACT: 0 OWNER 171 CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: CONTACT EMAIL: Existing Use of Building: Contract Price of Work:$ Proposed Use of Building: 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: Replacing Fixtures Like for Like with no Modification to Rough in. (}A'vSSOCIATED BUILDING PERMIT#(if applicable): 3�.�ay. t:&, 1�rE I a •-1.. 0711:O lit* "r�,"`9-u,: `'�=rte: 5.:,1 * 41)1 1 ,. ~ lt .411 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 __ 4 Toilet Backflow Preventer(Inside Bldg) Forced Air Systems Unit Heater Bathtub Urinal Gas Piping Boiler 4 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 4 Sink(Service/Bar/Mop/etc.) Other: VitiOSP �. a _ , Chemical or Water r No.of Heads tall 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.lam the owner,or 1 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# Q iio(o oql Owner/Authorized Agent Signature Date (Revised 9/23/2016)