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PERMIT APPLICATION <br /> #1°W.444:*;;;;T:44 BUILDING /MECHANICAL/ PLUMBING /SIGN /SPRINKLER/ DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET,EVERETT,WA 98201 <br /> (P)425-257-8810 1 FAX 425-257-8857 1(E)everetteps@everettwa.gov I www.everettwa.gov/permits <br /> {due*Bl ck Ink_ ly Peas PR E T SITE INFORMAtIOI+t, h <br /> PROJECT SITE ADDRESS: 8 2 4 WEST CASINO ROAD ( Bt. ) PROPERTY TAX#: 00392100000700 <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> CONTACT Ii FORMATION . , <br /> OWNER NAME: TENANT NAME(If Commercial):CASINO-WESTMONT AFFORDABLE <br /> OWNER MAILING ADDRESS: STREET 2223 112TH AVE. NE, SUITE 102 HOUSING PARTNERS, LLLP <br /> cm( BELLEVUE STATE WA ZIP 98004 <br /> OWNER PHONE: 425-454-8205 ,OWNER EMAIL: COREY BALDWIN <br /> CONTRACTOR NAME: SRI-ROCHLIN CONSTRUCTION SERVICES JV, LLC <br /> CONTRACTOR ADDRESS: STREET 2223 112TH AVE. NE, SUITE 102 <br /> car' BELLEVUESTATE WA ZIP 98004 <br /> CONTRACTOR PHONE: 425-681-6894 CONTRACTOR EMAIL: rochjimms@comcast.net <br /> CONTRACTOR LICENSE#(REQUIRED): ROCHLC S 8 9 IPP CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): <br /> PRIMARY CONTACT: 0 OWNER 0 CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 415-578-5562 <br /> TESSA LOMBARDI <br /> CONTACT EMAIL: t1ombardi@basisarch.corn <br /> .. ` .BIJILtiil+i #�IM'tlf#T 1lfllr`PLI #'1'I#f . _ <br /> Existing Use of Building: /1.00jt-V4Contract Price of Work:$_ `7 43/9 <br /> Proposed Use of Building: Heat Source: ®Gas DElectric ❑Other <br /> Building Type: ❑SFR-Detached ❑SFR-Attached ❑Duplex Multi-Family-#of Units: S .Commercial ❑Industrial <br /> Type of Project: CI New ❑Addition ❑Remodel ❑Repair ❑T.I, ❑Sign ❑Sprinkler ❑Demolition ®Change of Use <br /> DESCRIPTION OF WORK: <br /> BUILDING EXTERIORS: (N)FIBER-CEMENT SIDING WIHT CORRUGATED METAL ACCENTS, WINDOW REPLACEMENT, DRY ROT REPAIRS,FULL PAIET <br /> AT EXTERIORS. <br /> INTERIORS:DRY WALL REPAIRS,PAINT,FLOORING, COUNTERTOPS, APPLIANCE AND FIXTURE REPLACEMENT. <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> MECHANICAL PER IT APPLICATION U BIN 1:IE~R1f IIFAPPLICATION <br /> Type of Project: New _ Addn Alteration _Repair Type of Project: New _Addn _Alteration _Repair <br /> #of List of Fixtures #of List of Fixtures #of List of Fixtures #°f List of Fixtures <br /> Fixtures Fixtures Fixtures Fixtures <br /> A/C-Air Handling Units Heat Pump Toilet Backflow Preventer(Inside Bldg) <br /> Forced Air Systems Unit Heater Bathtub Urinal <br /> Gas Piping Boiler Lavatory(Wash Basin) Drinking Fountain <br /> Water Heater Refrigeration Shower Floor Drain <br /> Gas Fireplace Wood Stove Kitchen Sink&Disposal Grease Trap <br /> Gas Range Ducting Dishwasher Roof Drains <br /> Clothes Dryer Hookups Other: Clothes Washer Medical Gas <br /> Range Hood Water Heater Other: <br /> Exhaust Fan Sink(Service/Bar/Mop/etc.) Other: <br /> ti fi ItNik.LEI 1 SOOC IC1"0 QN **,0, 1 a <br /> Chemical or Water 1 No.of Heads <br /> 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 <br /> 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 <br /> Building Official before being authorized under any circumstance.lam the owner,or I am authorized by the owner of this property to perform the work for which application is made, <br /> and I comply with the State ontractors Law 18.27 RCW and 296.200A WAC. <br /> City of Everett Official Use Only <br /> PERMIT# OA <br /> 0 n ,!Authorized A Signature Date (Revised 9/23/2016) <br />