5700 23RD DR W 2018-06-28 - Laserfiche WebLink

PERMIT APPLICATION BUILDING/MECHANICAL/PLUMBING/SIGN/SPRINKLER/DEMOLITION el,";"A 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: 570Q 23rd Dr W 98203 PROPERTY TAX#:28040200200901 LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: Northshore Christinan Academy TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET 5700 23rd Dr W crry Everett STATE WA ZIP 98203 OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME: Mibre Plumbing CONTRACTOR ADDRESS: sTREET 34 Chick Rd cnv Camano Island STATE WA ZIP 98282 CONTRACTOR PHONE: 425.609.0400 CONTRACTOR EMAIL: rrantz@kirtley-cole.com CONTRACTOR LICENSE#(REQUIRED): CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): PRIMARY CONTACT: 0 OWNER ®CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: Brett Edwards CONTACT PHONE:425.263.6704 CONTACT EMAIL: mibrepiumbing@wavecable.com BUILDING PERMIT APPLICATION Existing Use of Building: Academy Contract Price of Work:$ 103,500 Proposed Use of Building: Academy Heat Source: ['Gas ®Electric ❑Other Building Type: ❑SFR-Detached IJSFR-Attached ['Duplex QMutti-Family-#of Units: ®Commercial ❑Industrial Type of Project: ®New II IAddition ❑Remodel ['Repair ['T.I. OSign ['Sprinkler ❑Demolition ['Change of Use DESCRIPTION OF WORK: Plumbing ASSOCIATED BUILDING PERMIT#(if applicable): 61701-033&B&PW1612-014 MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION Type of Project: New Addn Alteration Repair Type of Project: X New X Addn Ateration _Repair Fixtures List of Fixtures Fixtures List of Fixtures Fixtures List of Fixtures Fixtures List of Fixtures A/C—Air Handling Units Heat Pump 13 Toilet 1 Backflow Preventer(Inside Bldg) Forced Air Systems Unit Heater Bathtub 4 Urinal Gas Piping Boiler 6 Lavatory(Wash Basin) 2 Drinking Fountain Water Heater Refrigeration Shower 11 Floor Drain Gas Fireplace Wood Stove 1 Kitchen Sink&Disposal 1 Grease Trap Gas Range Ducting 1 Dishwasher Roof Drains Clothes Dryer Hookups Other: Clothes Washer Medical Gas Range Hood 1 Water Heater 6 Other: Hose Bibs Exhaust Fan 3 Sink(Service/Bar/Mop/etc.) Other: SPRINKLER>/SUPPRESSION SYSTEM �� t eive se, ly- 'Chemical or Water , 'No.of Heads -1(4 SP_ h y l //�liLr refrefizid tam/lc- ACKNOWLEDGEMENT:I have reviewed this application and confirm the information contained herein is true end correct Work done pursu ht 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.I 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 „as / r ,, . 02.06.17 PERMIT#O Owner/A orized Age Sig = Date (Revised 9/23/2018)11' ?1-7bz- /