221 SE EVERETT MALL WAY RED WING SHOES 2019-03-21

41677- PERMIT APPLICATION BUILDING / MECHANICAL/ PLUMBING / SIGN /SPRINKLER I 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( www.everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS:221 SE Everett Mall Way, Suite M-2 9820 PROPERTY TAX#: LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: Doug Hrabik TENANT NAME(If Commercial): Red Wing Shoes OWNER MAILING ADDRESS: STREET 15 N. Central Avenue cn-y Canonsburg STATE PA ZIP 15317 OWNER PHONE: 724-941-2055 OWNER EMAIL: dOUg@casenik.com CONTRACTOR NAME: Cassnik Contracting CONTRACTOR ADDRESS: STREET 15 North Central Avenue CITY Canonsburg STATE PA ZIP 15317 CONTRACTOR PHONE: 724-941-2055 CONTRACTOR EMAIL: tom@cassnik.com CONTRACTOR LICENSE#(REQUIRED): 603584720 y�j Grp CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): -t' PRIMARY CONTACT: 0 OWNER CJ CONTRACTOR 0 OTHER(Please Specify) '2--/17/- CONTACT 2--/17t..CONTACT NAME: CONTACT PHONE: 724-941-2055 Tom Allen CONTACT EMAIL:tom@cassnik.com BUILDING PERMIT APPLICATION Existing Use of Building: Contract Price of Work:$ Proposed Use of Building: Red Wing Shoes Heat Source: ❑Gas DElectric DOther Building Type: ❑SFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units: C1 Commercial ❑industrial Type of Project: CINew ❑Addition ❑Remodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition OChange of Use DESCRIPTION OF WORK: Finishing work for previous GC, interior fit-out ASSOCIATED BUILDING PERMIT#(if applicable): MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION Type of Project: _New _ Addn Alteration _Repair Type of Project: _New _Addn _Alteration Repair ft of #of Fixtures List of Fixtures List of Fixtures #of List of Fixtures #of List of 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 'Number 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 comply with the State Contractors Law 18.27 RCW and 296.200A WAC. 1J { ///��111 ¢� / 7 /�i City of Everett Official Use Only 1 �t i ;\ d . EF�'�141)' PERMIT# 1,A / � g'Dl� Owner/Authorized Agent Signatu a Date (Revised 9/23/2016)