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BIM PERMIT APPLICATION <br /> LIM <br /> BUILDING / MECHANICAL / PLUMBING / SIGN / SPRINKLER / DEMOLITION <br /> EVERETT CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET,EVERETT,WA 98201 <br /> WASHINGTON (P)425-257-8810 1 FAX 425-257-8857 1(E)everetteps@everettwa.gov i www.everettwa.gov/permits <br /> (Blue or Black Ink Only Please) PROJECT SITE INFORMATION, <br /> PROJECT SITE ADDRESS:909 SE Everett Mall Way, Unit A-175 PROPERTY TAX#: <br /> LEGAL for new construction: Short Plat/subdivision__ _Lot No.___ (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME: Robert Fontaine TENANT BUSINESS NAME(Commercial): Soundbite Cider <br /> OWNER MAILING ADDRESS: STREET 332 NE 159th St <br /> cm, Shoreline STATE WA ZIP 98155 <br /> OWNER PHONE: 215-962-9230 OWNER EMAIL:robert@soundbitecider.com <br /> CONTRACTOR NAME: N/A <br /> CONTRACTOR ADDRESS: STREET N/A <br /> ary N/A STATE N/A ZIP N/A <br /> CONTRACTOR PHONE:N/A CONTRACTOR EMAIL:N/A <br /> CONTRACTOR LICENSE#(REQUIRED):N/A CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): N/A <br /> PRIMARY CONTACT: 0 OWNER 0 CONTRACTOR 0 OTHER(Please Specify) _ <br /> CONTACT NAME: CONTACT PHONE:215-962-9230 <br /> Robert Fontaine CONTACT EMAIL:robert@soundbitecider.com <br /> BUILDING INFORMATION <br /> Existing Use of Building:Warehouse Contract Price of Work: $16,000 __ __ <br /> Proposed Use of Building: t-1,‘..1) Ci i', i'.tp d 1.C.i 1 Ci'`I Heat Source: OGas OElectric OOther <br /> BUILDING USE: ❑SFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: ❑✓Commercial ❑Accessory Structure <br /> Type of Project: ❑New ❑Addition ❑Remodel ❑Repair ❑T.I. ❑Sign LiSprinkler ❑Demolition ❑✓Change of Use <br /> DESCRIPTION OF WORK: Install walk in cooler. <br /> ASSOCIATED BUILDING PERMIT#(if applicable): 81901-01.5 <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Fixture Fixture Fixture Fixture <br /> Count List of Fixtures count List of Fixtures Count List of Fixtures Count List of Fixtures <br /> A/C—Air Handling Units Gas Piping Backflow Preventer(Inside Bldg) Shower,Tub,or Combo <br /> Boiler Gas Range Clothes Washer _ .Sink-Commercial(3-comp,prep,floor) <br /> Clothes Dryer Heat Pump&Ductless Dishwasher Sink-Residential(kitchen,bath,bar) <br /> Duct System(Remodel) 1 Refrigeration Drinking Fountain Sink-Utility,laundry,mop <br /> Exhaust Fans(Residential) Commercial Ventilatior Floor Drain Toilet <br /> Exhaust Hood(Type I) (Not Heat/AC system) Hose Bibb •Urinal <br /> Exhaust Hood(Type II) Water Heater Interceptor-Grease Waste/Water Piping Repair <br /> Exhaust Hood(Residential) Wood Stove Interceptor-Sand/Oil _ Water Service(behind meter) <br /> Forced Air Systems Other: Medical Gas Water Valves or Fixtures <br /> Gas Fireplace/Insert/Log Roof Drains Water Heater <br /> SPRINKLER/SUPPRESSION SYSTEM Sewage Ejector or Sump Pump Other: <br /> Water Suppression System No.of Heads <br /> Chemical Suppression System No.of Heads <br /> 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 <br /> 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 <br /> 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, <br /> and I comply with the State Contractors Law 18.27 RCW and 296.200A WAC. <br /> City of Everett Official Use Only <br /> .40 "," PERM 6/10/2019 N" ' o&..., 6 \ <br /> Owner/Authorized Agent Signature Date (Revised 10/10/2018) <br />