915 N BROADWAY WSU 2019-01-24 - Laserfiche WebLink

PERMIT APPLICATION 011111" BUILDING/MECHANICAL/ PLUMBING/SIGN /SPRINKLER/ DEMOLITION 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 E , ;r.,u. Z W <a n ., saa *Ct ,a.,. , g....y < ,,, ,s, ,,, a riir PROJECT SITE ADDRESS:915 North Broadway, Everett, WA 98201 PROPERTY TAX#:29051700214400 LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) OWNER NAME: TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET 110K Facil Ops 14204 Salmon CR CITY Vancouver STATE WA ZIP 98686 OWNER PHONE:360-546-9237 OWNER EMAIL:jessle.stelger@wsu.edu CONTRACTOR NAME:Center Pointe Signs CONTRACTOR ADDRESS: STREET 16630 SW Shaw St, Ste.A CITY Beaverton STATE OR zip 97078 CONTRACTOR PHONE:503-259-8855 CONTRACTOR EMAIL:karen@centerpointesigns.com CONTRACTOR LICENSE#(REQUIRED):CENTEPS939RF CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): PRIMARY CONTACT: 0 OWNER 8 CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:503-259-8855 Karen Myers CONTACT EMAIL:karen@centerpointesigns.com Existing Use of Building: Contract Price of Work:$ Proposed Use of Building: Heat Source: ❑Gas DElectric ❑Other Building Type: ❑SFR-Detached ❑SFR-Attached ODuplex ❑Multi-Family-#of Units: INCommercial ❑Industrial Type of Project: ❑New DAddition ❑Remodel ❑Repair DTI. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: Installation of exterior dimensional signage on building entrance. Requesting to re-open permit S1708-010 for inspection only ASSOCIATED BUILDING PERMIT#(if applicable): liM 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 Toilet Backflow Preventer(Inside Bldg) Forced Air S stems Unit Heater ®Bathtub Urinal Gas Pipin• Boiler _Lavatory(Wash Basin) —Drinkin..Fountain Water Heater Refri.eration —Shower —Floor Drain Gas Fireplace —Wood Stove —Kitchen Sink&Disposal —Grease Trap Gas Ranee Ductin• —Dishwasher —Roof Drains Clothes D er Hookups —Other: _Clothes Washer —Medical Gas Range Hood —Water Heater —Other: Exhaust Fan --- —Sink(Service/Bar/Mo•/etc. —Other: Chemical or Water _No.of Heads 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 lam 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 OPMIT 10/18/18 P # % 00 Owner/Authorized Agent Signature Date (Revised 9/23/2016) 40 S t Rob -°L°