319 76TH ST SW 2024-06-13 - Laserfiche WebLink

• PERMIT APPLICATION BUILDING /MECHANICAL I PLUMBING I SIGN l SPRINKLER J DEMOLITION EVERETT CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET,EVERETT,WA 98201 WASHINGTON (P)425-257-8810 FAX 425-257-8857 l(E)everetteps@everettwa.gov l www.everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS:319 76th Street SW, Everett 98203 PROPERTY TAX#:003920 000 060 05 LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: City of Everett TENANT BUSINESS NAME(Commercial): SNO9 11 OWNER MAILING ADDRESS: STREET CITY STATE ZIP OWNER PHONE: ,, OWNER EMAIL: CONTRACTOR NAME:TBD J \td..9-`3S Sb5 CONTRACTOR ADDRESS: STREET CITY STATE ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: CONTRACTOR LICENSE#(REQUIRED): O.A j l) t S 149 34 fa. CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 5 19� PRIMARY CONTACT: ©OWNER D CONTRACTOR El OTHER(Please Specify) Agent CONTACT NAME: CONTACT PHONE:206-523-3764 Michael Aippersbach CONTACT EMAIL:maipp©comcast.ne f - BUILDING INFORMATION Existing Use of Building:91 1 Emergency Communication Facility Contract Price of Wcrk:$ 4(0 O 0 Proposed Use of Building:Same as existing Heat Source: DGas ©Electric ©Other _ BUILDING USE: ❑SFR ❑Townhouse LIDuplex EADU ❑Multi-Family-#Units: ructure Type of Project: ❑New ❑✓Addition ❑Remodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: Replace (2)omni-antennas &(1)MW antenna; add (1)omni-antenna, (1)MW antenna&(2)panel antennas to existing 180 ft tower; update radio equipment;exchange existing battery stack; replace generator on existing pad. ASSOCIATED BUILDING PERMIT#(if applicable): MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION Fixture Fixture Fixture Fixture Count List of Fixtures Count List of Fixtures Count List of Fixtures Count List of Fixtures A/C—Air Handling Units Gas Piping Backflow Preventer(Inside Bldg) Shower,Tub,or Combo Boiler Gas Range Clothes Washer Sink-Commercial(3-comp,prep,floor) Clothes Dryer Heat Pump&Ductless Dishwasher Sink-Residential(kitchen,bath,bar) Duct System(Remodel) Refrigeration Drinking Fountain Sink-Utility,laundry,mop Exhaust Fans(Residential) Commercial Ventilatior Floor Drain Toilet Exhaust Hood(Type I) (Not Heat/AC system) Hose Bibb Urinal Exhaust Hood(Type II) Water Heater Interceptor-Grease Waste/Water Piping Repair Exhaust Hood(Residential) Wood Stove Interceptor-Sand/Oil Water Service(behind meter) Forced Air Systems Other: Medical Gas Water Valves or Fixtures Gas Fireplace/Insert/Log Roof Drains Water Heater SPRINKLER/SUPPRESSION SYSTEM Sewage Ejector or Sump Pump Other: Water Suppression System No.of Heads Chemical Suppression System 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!am authorized by the owner of this property to perform the work for which application is made, and!comply with the State Contractors Law 18.27 RCW and 296.200A WAC. City of Everett Official Use Only PERMIT# v - O 7 S Owner/Authorized Agent Sig t re Date (Revised 10/10/2018) 3/2