Laserfiche WebLink
PERMIT APPLICATIO ' <br /> BUILDIN ECHANICAL/ PLUMBING /SIGNI RINKLER/ DEMOLITION <br /> "11111010/sYTA CITY OF EVERETT PERMIT SERVICES <br /> s�M� 3200 CEDAR STREET, EVERETT,WA 98201 <br /> (P)425-257-8810 1 FAX 425-257-8857 1(E)everetteps@everettwa.gov 1 www.everettwa.gov/permits <br /> (Blue,or;Black 11*Only Please).; „,, ,per PROJECTSITE INFORMATIONS L4 E ..A: rt <br /> PROJECT SITE ADDRESS: 5415 Evergreen Way, Everett, Wa, 98201 PROPERTY TAX#: 00393200100502 <br /> LEGAL for new construction: Short Plat/subdivision BEVERLY HILLS DIV 4BLK001 D-02LOT 1 OFBSP RED� Lot No. (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME: Coastal Community Bank TENANT NAME(If Commercial): COASTAL COMMUNITY BANK <br /> OWNER MAILING ADDRESS: STREET 5415 Evergreen Way <br /> ciTY Everett STATE Wa ZIP 98201 <br /> OWNER PHONE: N/A OWNER EMAIL: N/A <br /> CONTRACTOR NAME: Johansen Mechanical, Inc. <br /> CONTRACTOR ADDRESS: STREET 20109 144th Ave NE <br /> CITY Woodinville STATE Wa ZIP 98072 <br /> CONTRACTOR PHONE: (425)481-2266 CONTRACTOR EMAIL: ivyl@johansenmech.com <br /> CONTRACTOR LICENSE#(REQUIRED): JOHANMI173PK CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): <br /> PRIMARY CONTACT: 0 OWNER ,17"CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: (425) 481-2266 <br /> Ivy LeVangie CONTACT EMAIL: ivyl@johansenmech.com <br /> t IV _ - , zit iBrNGPERxv k i <br /> U[LDI ; MIT APPLICATION' <br /> Existing Use of Building: Bank Contract Price of Work:$ 3,627.00 <br /> Proposed Use of Building: Bank Heat Source: DGas {Electric ❑Other <br /> Building Type: ❑SFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units: itCommercial ❑Industrial <br /> Type of Project: El New DAddition El Remodel El Repair VITA. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use <br /> DESCRIPTION OF WORK: <br /> Upgrade existing VAV system for the new tenant space.Work includes moving diffusers, adding return air grilles, and air balancing to new values. <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> MECHANICAL PERMIT APPLICATION` PLUMBING PERMIT APPLICATION <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 #of List of Fixtures <br /> Fixtures Fixtures Fixtures Fixtures <br /> NC—Air Handling Units 0 Heat Pump 0 Toilet 0 Backflow Preventer(Inside Bldg) <br /> 0 Forced Air Systems 0 Unit Heater 0 Bathtub 0 Urinal <br /> Gas Piping 0 Boiler 0 Lavatory(Wash Basin) 0 Drinking Fountain <br /> Water Heater 0 Refrigeration 0 Shower 0 Floor Drain <br /> 0 Gas Fireplace 0 Wood Stove 0 Kitchen Sink&Disposal 0 Grease Trap <br /> 0 Gas Range 0 Ducting 0 Dishwasher 0 Roof Drains <br /> 0 Clothes Dryer Hookups 0 Other: 0 Clothes Washer 0 Medical Gas <br /> 0 Range Hood 0 0 Water Heater 0 Other: <br /> 0 Exhaust Fan 0 U Sink(Service/Bar/Mop/etc.) 0 Other: <br /> 0 0 s 0 <br /> SPRINKLER!;SUPPRESSION SYSTEM.:. ', 0 0 <br /> 0 Chemical or Water I 0 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 Contractors Law 18.27 RCW and 296.200A WAC. <br /> City of Everett Official Use Only <br /> PERMIm i' i c <br /> -1 <br /> --I--, <br /> Owner/Authorized Agent Signature Date (Revised 9/23/2016) (ti <br />