404 14TH ST BASE FILE 2019-07-09

PERMIT APPLICATIC:' RUILDIN. I MECHANICAL / PLUMBING / SIN ! _PRINKLER / 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 1 www.everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: 404 14TH ST.EVERETT,WA 98201 (620 14TH ST.EVERETT,WA 98201) PROPERTY TAX#: 290518002091 03 LEGAL for new construction: Short Plat/subdivision SEE ATTACHMENT Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: EVERETT PORT OF TENANT NAME (If Commercial): PORT OF EVERETT OWNER MAILING ADDRESS: STREET PO BOX 538 civ EVERETT STATE WA ZIP 98206 OWNER PHONE: N/A OWNER EMAIL: N/A CONTRACTOR NAME: MACDONALD MILLER FACILITY SOLUTIONS CONTRACTOR ADDRESS: STREET 7717 DETROIT AVE SW CITY SEATTLE STATE WA ZIP 98106 CONTRACTOR PHONE: (206) 768-4062 CONTRACTOR EMAIL: permits@macmiller.com CONTRACTOR LICENSE#(REQUIRED): MACDOFS980RU CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 040665 PRIMARY CONTACT: ❑ OWNER CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: (206) 768-4062 AMMONE BEMBRY CONTACT EMAIL: permits@macmiller.com BUILDING PERMIT APPLICATION Existing Use of Building: OTHER RECREATION Contract Price of Work: $ 6,613 Proposed Use of Building: OTHER RECREATION Heat Source: OGas ❑Electric DOther Building Type: DSFR-Detached DSFR-Attached 0 Duplex 0 Multi-Family-#of Units: VCommercial 0 Industrial Type of Project: I INew DAddition ❑Remodel ❑Repair DTI. ❑Sign OSprinkler ODemolition ❑Change of Use DESCRIPTION OF WORK: REPLACE A LIKE-FOR-LIKE WATER HEATER. 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 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 1 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 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 WAG. City of Everett Official Use Only PERMI,�#��o r �l LA 04/02/2019 �Y/�I (`"�` - 1 Owner/Authorized Agent Signature Date (Revised 9/23/2016)