13110 19TH AVE SE 2019-06-11 - Laserfiche WebLink

PERMIT APPLICATION BUILDING / MECHANICAL/ PLUMBING / SIGN /SPRINKLER/ DEMOLITION O ��T 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 I www.everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: 13110 B8 6)I-E-vim"-Et-H4g11way AC tit. j'L,PROPERTY TAX#: 2668294 LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: Imaging Financial Solutions TENANT NAME(If Commercial): Walgreens Store #4730 OWNER MAILING ADDRESS: STREET P.O. Box 3649 CITY Danbury STATE CT ZIP 06813 OWNER PHONE: (847) 315-2500 OWNER EMAIL: monica.ferrer©walgreens.com CONTRACTOR NAME: AES Mechanical Services Group, Inc. CONTRACTOR ADDRESS: STREET 2171 AL Highway 229 , Tallassee STATE AL ZiP 36078 CONTRACTOR PHONE: (334) 252-0382 CONTRACTOR EMAIL: Sara@aesmech.com CONTRACTOR LICENSE#(REQUIRED): AESMEMS929JS CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 54064 PRIMARY CONTACT: El OWNER 'CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: (334) 252-0382 Sara McFaddin CONTACT EMAIL: Sara@aesmech.com BUILDING PERMIT APPLICATION Existing Use of Building:Retail drugstore Contract Price of Work: $27,000 Proposed Use of Building: Retail drugstore Heat Source: C1GaS ❑Electric ❑Other Building Type: ❑SFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units: gitCommercial 0 Industrial Type of Project: ❑New ❑Addition ❑Remodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler El Demolition ❑Change of Use DESCRIPTION OF WORK: Remove and replace 6 packaged rooftop HVAC units, same for same. 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 #of #of #of #of Fixtures List of Fixtures Fixtures List of Fixtures List of Fixtures List of 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: patiacptClothes Washer Medical Gas Range Hood 12.-ills Water Heater Other: Exhaust Fan Sink(Service/Bar/Mop/etc.) Other: SPRINKLER/SUPPRESSION SYSTEM Chemical or Water 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 ja&C r lC -7' a5 ' Das PERM ( 03--01-r Owner/Authorized Agent Signature Date (Revised 9/23/2016)