Laserfiche WebLink
PERMIT APPLICATION <br /> BUILDING I MECHANICAL/ PLUMBING/SIGN/SPRINKLER/DEMOLITION <br /> Oren. <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET,EVERETT,WA 98201 <br /> (P)425-257-8810 I FAX 425-257-8857 I(E)everetteps@everettwa.gov I www.everettwa.gov/permits <br /> PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS: PROPERTY TAX#: <br /> i."( 6500 Evergreen Way A-103 <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME: AGE Investments Inc. TENANT NAME(If Commercial): Special Interest Auto Body <br /> OWNER MAILING ADDRESS: STREET 1101 Avenue D Suite D-201 <br /> CITY Snohomish STATE WA ZIP 98290 <br /> OWNER PHONE: 425-353-2381 OWNER EMAIL: koby@wexlerpropertygroup.com <br /> ✓CONTRACTOR NAME: Crest Construction, Inc. <br /> CONTRACTOR ADDRESS: STREET P.O. Box 2150 <br /> cnv Mt.Vernon STATE WA DP 98273 <br /> /CONTRACTOR PHONE: 360-424-8700 CONTRACTOR EMAIL: <br /> I/ CONTRACTOR LICENSE#(REQUIRED): CRESTCI927JG ITY of EVERETT BUSINESS LICENSE#(REQUIRED): 055377 <br /> PRIMARY CONTACT: ❑OWNER 0 CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: <br /> CONTACT EMAIL: <br /> BUILDINGPERMIT APPLICATION <br /> Existing Use of Building: Contract Price of Work.."$ 400.00 est. <br /> Proposed Use of Building: Heat Source: ❑Gas ❑Electric DOther <br /> Building Type: ❑SFR-Detached ❑SFR-Attached ODuplex ❑Multi-Family-#of Units: ❑Commercial ❑Industrial <br /> Type of Project: ❑New ❑Addition ❑Remodel ❑Repair ❑T.I. OSign ❑Sprinkler ❑Demolition OChange of Use <br /> DESCRIPTION OF WORK: <br /> ASSOCIATED BUILDING PERMIT#(if applicable): I t o V 1 <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT'APPLICATION <br /> Type of Project: _New Addn ✓Iteration _Repair Type of Project: _New _Adds Alteration _Repair <br /> Fixtures List of Fixtures Fixtures List of Fixtures Fixtures List of 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 /> 2 Exhaust Fan Sink(Service/Bar/Mop/etc.) Other: <br /> SPRINKLER/SUPPRESSION SYSTEM <br /> )Number 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.I am 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 Contractors Law 18.27 RCW and 296.200A WAC. <br /> City of Everett Official Use Only <br /> I �b <br /> Owner/AuthorPER IT j UG 0 _..., <br /> �® VI <br /> V4V- --- '5'g <br /> Agent Signature _l Date (Revised 10/12/2015) <br />