6000 23RD DR W TEAGUE 2019-08-08

OLT PERMIT APPLICATION BUILDING ECHANICAL / PLUMBING / SIGN 'RINKLER / DEMOLITION CITY OF EVERETT PERMIT SERVICtS 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: 6000 23rd Dr W PROPERTY TAX#: 28040200301800 LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: Nicholson Machine & Technology Corn Corp TENANT NAME(If Commercial): ----6()C.:\ �( OWNER MAILING ADDRESS: STREET 6000 23rd Dr W cn-y Everett STATE WA ZIP 98203 OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME: PSF Mechanical, Inc. CONTRACTOR ADDRESS: STREET 1 1621 E Marginal Way S, Suite A CITY Seattle STATE WA zip 98168 CONTRACTOR PHONE: 206-812-7683 CONTRACTOR EMAIL: permits@psfmech.com -`'-'\. CONTRACTOR LICENSE#(REQUIRED): PSFMEI'090NZ CITY OF EVERETT BUSINESS LICENSE#(REQUIRED):026337 PRIMARY CONTACT: 0 OWNER ZI CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 206-812-7683 Amanda Moore CONTACT EMAIL: permits@psfinech.com BUILDING PERMIT APPLICATION t.'-'--\ ,y Existing Use of Building: COMMERCIAL Contract Price of Work: $ 42000 Proposed Use of Building: Heat Source: ❑Gas ❑Electrc ❑Other Building Type: ❑SFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units: \- ZICommercial ❑Industrial Type of Project: ONew ❑Addition ❑Remodel El Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: 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 4 Toilet Backflow Preventer(Inside Bldg) Forced Air Systems Unit Heater Bathtub 2 Urinal Gas Piping Boiler Lavatory(Wash Basin) Drinking Fountain Water Heater Refrigeration Shower 2 Floor Drain Gas Fireplace Wood Stove 1 Kitchen Sink 8,-Dispeool - Grease Trap Gas Range Ducting 1 Dishwasher Roof Drains Clothes Dryer Hookups Other: Clothes Washer Medical Gas Range Hood Water Heater I Other: HOT WATER TANK Exhaust Fan 4 Sink(Service/Bar/Mop/etc.) Other: SPRINKLER/ SUPPRESSION SYSTEM Number 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 WA C. City of Everett Official Use Only PERMI i f . 111A; cd1S( 0'11-- � - R 1 9 • •n•r/Authorized Agent Si. .ture Date (Revised 9/23/2016)