7621 BEVERLY LN 2019-06-19 - Laserfiche WebLink

47-r PERMIT APPLICATIOII BUILDING / MECHANICAL/PLUMBING /SIGN / SPRINKLER/ 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 I www.everettwa.gov/permits {Blue or Black Ink Onty Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS:7621 Beverly Lane PROPERTY TAX#:28050700300400 LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: Everett School District 2 TENANT BUSINESS NAME(Commercial): Evergreen Middle School OWNER MAILING ADDRESS: sTREET4730 Colby Avenue ciTr Everett STATE WA Zip 98203 OWNER PHONE:4253854000 OWNER EMAIL: CONTRACTOR NAME:Western Mechanical Contractors CONTRACTOR ADDRESS: sTREE720 1 8 So. 220th Street ciiv Kent STATE WA ZIP 98032 CONTRACTOR PHONE:2539469544 CONTRACTOR EMAIL:permltS@Westernmecb.US CONTRACTOR LICENSE#(REQUIRED):WESTEMC91 9QL CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 051585 PRIMARY CONTACT: D OWNER El CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:20660552202 Fawn FrankSen-Garnett CONTACT EMAIL:permits@westernmech.us BUILDING INFORMATION Existing Use of Building:SChOOI Contract Price of Work: $3415.00 Proposed Use of Building:Schools Heat Source: ❑Gas DElectric ClOtherirrelevant BUILDING USE: ❑SFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units. ❑Commercial OAccessory Structure Type of Project: ❑New ❑Addition ❑Remodel ❑✓Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: Remove Hobart model AM14T with new AM15T to replace non-functioning unit. Install, test&certify one new lead free 3/4" Watts LF009 hot water reduced pressure backflow to feed new dishwasher. New copper piping as necessary to existing floor sink. ASSOCIATED BUILDING PERMIT#(if applicable): MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION Fixture Fixture Fixture Fixture Count List of Fixtures Count List of Fixtures Count List of Fixtures Count List of Fixtures A/C—Air Handling Units Gas Piping Backflow Preventer(Inside Bldg) Shower,Tub,or Combo Boiler Gas Range Clothes Washer Sink-Commercial(3-comp,prep floor) Clothes Dryer Heat Pump&Ductless Dishwasher Sink-Residential(kitchen,bath,bar) Duct System(Remodel) Refrigeration Drinking Fountain Sink-Utility,laundry, mop Exhaust Fans(Residential) Commercial Ventilation Floor Drain Toilet Exhaust Hood(Type I) (Not Heat/AC system) Hose Bibb Urinal Exhaust Hood(Type II) Water Heater Interceptor-Grease Waste/Water Piping Repair Exhaust Hood(Residential) Wood Stove Interceptor-Sand/Oil Water Service(behind meter) Forced Air Systems Other: Medical Gas Water Valves or Fixtures Gas Fireplace/Insert/Log Roof Drains Water Heater SPRINKLER/SUPPRESSION SYSTEM Sewage Ejector or Sump Pump Other: Water Suppression System No.of Heads Chemical Suppression System 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 lam 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 iL ` _ x/71 ��..._ .. el Owner/Authorized Agent Signature Date (Revised 10/10/2018)