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

PERMIT APPLICATI I' BUILDING I 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 1(E)everetteps@everettwa.gov l www.everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION 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) CONTACT INFORMATION OWNER NAME: TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET 110K Facil Ops 14204 Salmon CR cn-Y Vancouver STATE WA ZIP 98686 OWNERPHONE:360-546-9237 OWNER EMAIL:jessie.steiger@wsu.edu CONTRACTOR NAME:Center Pointe Signs CONTRACTOR ADDRESS: STREET 16630 SW Shaw St, Ste. A cry Beaverton sTATEOR ziP97078 CONTRACTOR PHONE:503-259-8855 CONTRACTOR EMAIL:karen@centerpointesigns.com CONTRACTOR LICENSE#(REQUIRED):CENTEPS939RF CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 056735 PRIMARY CONTACT: 0 OWNER IN CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:503-259-8855 Karen Myers CONTACT EMAIL:karen@centerpointesigns.com BUILDING PERMIT APPLICATION Existing Use of Building: Contract Price of Work:$ l 11-0 • 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 El Remodel ❑Repair 0T.1 • '•_ _: _ ■ ... —es 1..•_ - _ DESCRIPTION OF WORK: - - • - _ • • ••— ■ • • _ - - _ ; - -- ; -a ••_ - • •ei _ • , •• •• • w CAJcovx ASSOCIATED BUILD P RMIITT#(If applicable): f' MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION 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 #°{ List of Fixtures Fixtures Fixtures Fixtures Fixtures A/C—Air Handling Units Heat Pump Toilet Backflow Preventer(Inside Bldg) Forced Air Systems Unit Heater Bathtub Urinal Gas Piping Boiler 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 Sink(Service/Bar/Mop/etc.) Other: SPRINKLER/SUPPRESSION SYSTEM Chemical or Water I 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.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 coin ly with the State Contractors Law 18.27 RCW and 296.200A WAC. City of Everett Official Use Only PERMIT# •,, __ 4/20/2017 t Owner/Au hori 4-d 4 gent Signature Date (Revised 9/23/2016) 17 0 c 01 6