802 E MUKILTEO BLVD 2019-07-08 - Laserfiche WebLink

PERMIT APPLICATION■ BUILDING / MECHANICAL/ PLUMBING /SIGN /SPRINKLER/ DEMOLITION NiiiiCITY 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: 802 E. Mukilteo Blvd. Blfg 100 PROPERTY TAX#: LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: City of Everett TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET 802 E. Mukilteo Blvd. CITY Evereett STATE WA ZIP 98203 OWNER PHONE: 4252578353 OWNER EMAIL: dacheson@everettwa.gov CONTRACTOR NAME: Self CONTRACTOR ADDRESS: STREET CITY STATE ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: CONTRACTOR LICENSE#(REQUIRED): CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): PRIMARY CONTACT: 17 OWNER 0 CONTRACTOR 0 OTHER(Please Specify) • CONTACT NAME: CONTACT PHONE: 425-257-8353 Doug Acheson CONTACT EMAIL: dachesonAeverettwa.gov BUILDING PERMIT APPLICATION Existing Use of Building:Offices Contract Price of Work:$ 500 Proposed Use of Building: Offices Heat Source: ❑Gas ❑Electric ❑Other Building Type: ❑SFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units: Commercial ❑Industrial Type of Project: ❑New ❑Addition ❑Remodel ORepair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: Remove faulty 6 gallon WH , replace with like-in-kind ASSOCIATED BUILDING PERMIT#(if applicable): MECHANICAL PERMIT APPLICATI9N ' 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 #of List of Fixtures #of List of Fixtures Fixtures Fixtures Fixtures Fixtures A/C—Air Handling Units Heat Pump Toilet Backflow Preventer(Inside Bldg) LiForced Air Systems Unit Heater Bathtub Urinal Gas Piping Boiler Lavatory(Wash Basin) Drinking Fountain 1 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 ' 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 Offi,'.I before being authorized under any circumstance.l 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 ith the State Contractors Law 18.27 RCW and 296.200A WAC. City of Everett Official Use Only PERMIT# Owner/A r zed Agee i•na 1 - Date (Revised 9/23/2016)