6502 EVERGREEN WAY ENHANCED SERVICE FACILITIES 2020-01-21

PERMIT APPLICATION BUILDING/ MECHANICAL/PLUMBING I SIGN / SPRINKLER/ DEMOLITION i,. CITY OF EVERETT PERMIT SERVICES � �� I 3200 CEDAR STREET,EVERETT,WA 98201 n (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 500039000001600 PROJECT SITE ADDRESS� F''a EVERGREEN WAY. EVERETT, WA. 98203 PROPERTY T #: 003930000028000 0393000 0�00::003933000002900 LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long leg description CONTACT INFORMATION OWNER NAME: Madison Real Property LLC TENANT NAME(If Commercia SUN I S ICES,INC OWNER MAILING ADDRESS: STREET PO Box 31609 CITY Seattle WA ZIP 98103 OWNER PHONE: (206)619-5555 OWNER EMA toddm iso i) • ail.com CONTRACTOR NAME: T.B.D. — CONTRACTOR ADDRESS: STREET CITY I STATE ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: I' '/ CONTRACTOR LICENSE#(REQUIRED): •. L -,. �J�J ITY OF EVE ''ETT BUSINESS LICENSE#(REQ ,/D): PRIMARY CONTACT: I O OWNER D NTRACTOR 0 OTHER(Please Specify) �_ - _— CONTACT NAME: Todd Madison CONTACT PHONE: (206)619-5555 CONTACT EMAIL: toddmadison@hotmail.com BUILDING PERMIT APPLICATION Existing Use of Building: Contract Price of Work:$ 2,000,000 Proposed Use of Building: COMMERCIAL/RESIDENTIAL MIXED USE Heat Source.: ❑Gas ®Electric ❑Other Building Type: ❑SFR-Detached ❑SFR-Attached El Duplex ❑Mufti-Family-#of Units: ®Commercial El Industrial Type of Project: ®New ❑Addition ❑Remodel ❑Repair ❑T.1. ❑Sign ❑Sprinkler ®Demolition ❑Change of Use DESCRIPTION OF WORK: NEW CONSTRUCTION OF MIXED RETAIL AND COMMERCIA - , 414 A. ito6e4 Oily - - c; 'er-Vn Ca rad/ i ASSOCIATED BUILDING PERMIT#(if applicable): 1/I/0r i n6 A `'1 MECHANICAL PERMIT APPLICATION PLUMBING f11IIT:,A CATION Type of Project: _New — Addn _Alteration Repair T •e of Pro'e . ,ew Addn _Alteration _Repair #of List of Fixtures #of List of Fixtures #of List of Fixtures #°f List of Fixtures Fixtures Fixtures Fixtures Fixtures 5 A/C—Air Handling Units 2 Heat Pump 7 Toilet Backflow Preventer(Inside Bldg) 2 Forced Air Systems Unit Heater 1 Bathtub 0 Urinal 5 Gas Piping Boiler 7 Lavatory(Wash Basin) 0 Drinking Fountain 2 Water Heater Refrigeration 3 Shower 10 Floor Drain 0 Gas Fireplace Wood Stove 3 Kitchen Sink&Disposal 1 Grease Trap 1 Gas Range Ducting 2 Dishwasher 4 Roof Drains 2 Clothes.Dryer Hookups Other: 2 Clothes Washer Medical Gas 1 Range Hood 20 PTAC 2 Water Heater 9 Other:HOSE BIBS 12 Exhaust Fan 4 Sink(Service/Bar/Mop/etc.) 4 Other: CONDENSATION PER C WGS:TOTAL FIXTURE UNIT S:504 SPRINKLER/'SUPPRESSION SYSTEM WATER Chemical or Water ,B1DDEsIGN No.of Heads===Tfi>***=BIDDER DESIGN DURING COIISTRUCTION 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.Th-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 author'4: nder 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 Stat-•;:1 s Law 18.27 RCW and 296.200A WAC. City of Everett Official Use Only PER IT 4000 D._ .,411 :104)JoopPo- Own-'/Aut,Mr'1 !' Signature Date 0 (Revised 9/ /2016)