915 N BROADWAY WSU 2019-06-19 - Laserfiche WebLink

PERMIT APPLICATION BUILDING/MECHANICAL/PLUMBING/SIGN /SPRINKLER/DEMOLITION /111P/A14% 1;--:1 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: 915 N Broadway, Everett PROPERTY TAX#: LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: TENANT NAME(If Commercial): Washington State University OWNER MAILING ADDRESS: STREET CITY Everett STATE WA ZIP OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME: Trade-Marx Sign + Display CONTRACTOR ADDRESS: STREET 818 South Dakota Street CITY Seattle STATE WA zip 98108 CONTRACTOR PHONE: 206-623-7676 CONTRACTOR EMAIL: Chase@trade-marx.com CONTRACTOR LICENSE#(REQUIRED): TradeSD 1 130M CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 22846 PRIMARY CONTACT: ❑OWNER 'CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:206-623-7676 Chase Chandler CONTACT EMAIL: chaseatrade-marx.com BUILDING PERMIT APPLICATION Existing Use of Building: Contract Price of W :$5,000 Proposed Use of Building: Heat Source: ❑Gas ectric ❑Other Building Type: ❑SFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units: ❑Commercial ❑industrial Type of Project: ❑New ❑Addition ❑Remodel ❑Repair ❑T.I. IRSign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: Install Exterior non-illuminated sign on side of building ASSOCIATED BUILDING PERMIT#(if applicable): MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION Type of Project: _New ` Addn Alteration _Repair Type of Project: _New Adds _Alteration _Repair #of List of Fixtures #of List of Fixtures #of List of Fixtures #of List of Fixtures Fixtures 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: Clothes Washer Medical Gas Range Hood Water Heater Other: Exhaust Fan Sink(Service/Bar/Mop/etc.) Other: SPRINKLER/SUPPRESSION SYSTEM Chemical or Water I INo.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 1 am authorized by the owner of this property to perform the work for which application is made, and I comply wi the State Contractors Law 18.27 RCW and 296.200A WAC. Q D City/of Everett Official Use, 6146€4,44444,46 7,1 w r/Authorized Agent Signature a (Revised 9/23/2016)