840 N BROADWAY 2019-03-26 - Laserfiche WebLink

PERMIT APPLICATI�I II BUILDINGl-MECHANICAL/ PLUMBING/SIGNTSPRINKLER/ DEMOLITION CITY OF EVERETT PERMIT SERVICES .„,40tiWiw 3200 CEDAR STREET,EVERETT,WA 98201 (P)425-257-8810 I FAX 425-257-8857 1(E)everetteps@everettwa.gov I www.everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: 840 N Broadway Ave (Std a,A' PROPERTY TAX#: 0551300001900 LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: GPT Properties Trust TENANT NAME(If Commercial): 95 J.4 5 OWNER MAILING ADDRESS: STREET Two Newton P1 255 Washington St. CITY Newton STATE MA ZIP 02458 OWNER PHONE: 206-240-1939 OWNER EMAIL: CONTRACTOR NAME: Comfort Systems Northwest CONTRACTOR ADDRESS: STREET 18702 North Creek Pkwv, Suite 110 CITY Bothell STATE WA ZIP 98011 CONTRACTOR PHONE: 425-883-9224 CONTRACTOR EMAIL: misty.pomada@comfortsystemsusa.com CONTRACTOR LICENSE#(REQUIRED): COMFOSU842LB CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 017389 PRIMARY CONTACT: ❑OWNER ®CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 425-883-9224 Misty Pomada CONTACT EMAIL: misty.pomada@comfortsystemsusa.com BUILDING PERMIT APPLICATION Existing Use of Building: Contract Price of Work:$ — Z$, ( — Proposed Use of Building: . Heat Source: CI Gas ❑Electric ❑Other Building Type: ❑SFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units: El Commercial El Industrial Type of Project: El New ❑Addition ❑Remodel El Repair ❑T.I. CI Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: Replacing an existing Ifirettom=trower and* heat pumps with new. Like for like replacement. ASSOCIATED BUILDING PERMIT#(if applicable): MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION Type of Project: _New _ Addn _Alteration X 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 NC-Air Handling Units 14 Heat Pump [Toilet IBackflow Preventer(Inside Bldg) I 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 _cooling Tomer Water Heater Other: Exhaust Fan Sink(Service/Bar/Mop/etc.) Other: SPRINKLER/SUPPRESSION SYSTEM Chemical or Water I 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 comply with the State Contractors Law 18.27 RCW and 296.200A WAC. City of Everett Official Use Only PERMIT# -i -- i , Atfgo - to i Owner//uthorized Agent Signature Date (Revise. 9/23/2016)