4410 RUCKER AVE 2019-04-17 - Laserfiche WebLink

PERMIT APPLICAT • BUILDI• MECHANICAL/ PLUMBING /SI PRINKLER/ DEMOLITION h' _ CITY OF EVERETT PERMIT SE--III 3200 CEDAR STREET, EVERETT,WA 98201 (P)425-257-8810 I FAX 425-257-8857 I(E)everetteps@everettwa.gov I www.everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: 4410-Rucker Ave PROPERTY TAX#:0 0 4 0 7 8 0 0 6 0 3 9 0 0 LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: SLYDERS LLC TENANT NAME(If Commercial): Totem Resturant OWNER MAILING ADDRESS: STREET 20707 Filbert Rd cin' Bothell STATE WA ZIP 98012 OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME: Williams Mechanical Inc CONTRACTOR ADDRESS: STREET 3903 Smith Ave CITY Everett STATE WA ZIP 98201 CONTRACTOR PHONE: (425) 303-0828 CONTRACTOR EMAIL:brad@williams—mechanical . com CONTRACTOR LICENSE#(REQUIRED): WILL I MI 0 8 8 PA CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 026656 PRIMARY CONTACT: 0 OWNER ®CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: CONTACT EMAIL: BUILDING PERMIT APPLICATION Existing Use of Building: Contract Price of Work: $ /-OOD Proposed Use of Building: Heat Source: ®Gas ❑Electric ❑Other Building Type: ❑SFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units: ®Commercial El Industrial Type of Project: ONew ❑Addition ❑Remodel ❑Repair ®T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: Install Gas line for new Vulcan Double Stack Convection Oven and Garland Cook top Range ASSOCIATED BUILDING PERMIT#(if applicable): Im\ (Q 01 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 #°f List of Fixtures #of List of Fixtures Fixtures Fixtures Fixtures Fixtures NC—Air Handling Units Heat Pump Toilet Backflow Preventer(Inside Bldg) Forced Air Systems Unit Heater Bathtub Urinal 2 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 f SUPPRESSION SYSTEM Chemical or Water 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 compl w'h the State Contractors Law 18.27 RCW and 296.200A WAC. City of Everett Official Use Only — PERMIT / / 9'JP 1-23-2017 Owner/Authorized g t Signature Date (Revised 9/23/2016)