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sr.,,,,. <br /> '"' 160 PERMIT APPLICATIO(� <br /> " �'' � BUILDIN ) MECHANICAL/PLUMBING/SIGN /SPRINKLER/DEMOLITION <br /> O/Y, .f CITY OF EVERETT PERMIT SERVICES <br /> O1� 3200 CEDAR STREET,EVERETT,WA 98201 r,; <br /> (P)425-257-8810 I FAX 425-257-8857 1(E)everetteps@everettwa.gov 1 www.everettwa.gov/permits <br /> t***1 Black tank OnI Pease) 1' JECT SIT INFORMA' "IOt!t <br /> PROJECT SITE ADDRESS: 824 WEST CASINO ROAD ( . per-i ) PROPERTY TAX#: 00392100000700 <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> ONTACT.,I FORMAT ION ` ! . : .. <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 /> err( 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 /> cm/ BELLEVUE STATE WA ZIP 98004 <br /> CONTRACTOR PHONE: 425-681-6894 CONTRACTOR EMAIL: rochjimms@comcast.net <br /> CONTRACTOR LICENSE#(REQUIRED): ROCHLCS 8 9 I PP 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 /> ' Eult'Dt$OPEt 'T*Pr`Lt Y1tlN <br /> Existin• Use of Buildin•: I A'1GrticContract Price of Work:$_ ; 1 / <br /> Proposed Use of Building: !fir Heat Source: ®Gas CI Electric ❑Other <br /> Building Type: ❑SFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units: Commercial ❑Industrial <br /> Type of Project: ONew DAddition ❑Remodel ❑Repair CIT.!. ❑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 PAIDT <br /> AT EXTERIORS. <br /> INTERIORS:DRY WALL REPAIRS,PAINT,FLOORING, COUNTERTOPS, APPLIANCE AND FIXTURE REPLACEMENT. <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> MECH LAICAL PE l IT APPIJCATtOt►11 PLUMBING PE tM17 APPUCAflo,N., <br /> Type of Project: _New Addn Alteration _Repair Type of Project: _New _Addn _Alteration _Repair <br /> #of <br /> Fixtures List of Fixtures #of List of Fixtures #of List of Fixtures #of <br /> Fixtures Fixtures Fixtures List of 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 /> SPRINKLER3 SUPPt ESSION SYSTEM <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 lam authorized by the owner of this property to perform the work for which application is made, <br /> and I comply with the State Contractors Law 18.27 RCW and 296.200A WAC. <br /> City of Everett Official Use Only <br /> —2//g17 PERMIT# lr76.21, -14031✓ <br /> Owne ut orized Agent Signature Date (Revised 9/23/2016) <br />