1730 112TH ST SW SAGE APARTMENTS 2019-08-20

PERMIT APPLICATION BUILDING/MECHANICAL/ PLUMBING /SIGN/SPRINKLER/ DEMOLITION /11111P00 :4 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: 1730 112th St SW PROPERTY TAX#: 00537900004100 LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: SCG Atlas Sage LLC TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET 1730 112th St SW CITY FverAtt STATE WA ZIP 98204 OWNER PHONE: `-+25-10— OWNER EMAIL: Sage GR cC�DlnnacIeliving.COm CONTRACTOR NAME: 1' vlrnj3 �l jj eitir.rr f A-dkitCrb CONTRACTOR ADDRESS: OCt Si. S�- otQ(-tociSTATE ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: 111 Aiimeame ` CONTRACTOR LICENSE#(REQUIRED): CITY OF EVERETT BUSINESS LICENSE#(REQUI- Dj: `9-(S PRIMARY CONTACT: 0 OWNER 0 CONTRACTOR 'J OTHER(Please Specify) CONTACT NAME: Pam Kearney, As Agent CONTACT PHONE:X00-504-3388 X106 CONTACT EMAIL: rkearri.yaSCni itseroines corn BUILDING PERMIT APPLICATION Existing Use of Building: Apt Complex Contract Price of Work: Proposed Use of Building: vamHeat Source: ❑Gas ❑Electric ❑Other Building Type: ❑SFR-Detached USFR-Attached ❑Duplex ulti-Family-#of Units: ■Commercial ❑Industrial Type of Project: ❑New ❑Addition El Remodel ❑Repair ❑T.I. 'Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: Monument Sign ASSOCIATED BUILDING PERMIT#(if applicable): (1,V/ 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 NC—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 I SUPPRESSION SYSTEM Chemical or Water ' I 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.l am the owner,or I am authorized by the owner of this property to perform the work for which application is made, and/comply with the State Contractors Law R18..27 RCW and 296.200A WAC. k i Sod_ 3� ' X (b I n �Y�` @Q SC 6 CI-SO-flit OSIS ,C v- City of Everett Official Use Only Owner/Authorized Agent Signature Agent 6/21/Date (Revised 9/23/2016)