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PERMIT APPLICATIO* <br /> BUILDING/ MECHANICAL/ PLUMBING /SIGN /SPRINKLER/ DEMOLITION <br /> 04'1/17:41 <br /> 4141g - CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET,EVERETT,WA 98201 <br /> (P)425-257-8810 I FAX 425-257-8857 I(E)everetteps@everettwa.gov I www.everettwa.gov/permits <br /> (Blue or Black Ink Only Please) ; PROJECT:SITE INFORMATION <br /> PROJECT SITE ADDRESS: 1720 75th Street SW, Everett,WA 98203 PROPERTY TAX#:28041100101200 <br /> LEGAL for new construction: Short Plat/subdivision See attached Lot No. <br /> (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME: Elcon Corporation TENANT NAME(If Commercial):Motor Services Hugo Stamp, Inc. (MSH:') <br /> OWNER MAILING ADDRESS: STREET 5801 23rd Drive W <br /> CITY Everett STATE WA ZIP 98203 <br /> OWNER PHONE: 425-743-5600 OWNER EMAIL: pwilliams@elconcorp.com <br /> CONTRACTOR NAME: Washington Crane & Hoist (Mike Currie) <br /> CONTRACTOR ADDRESS: STREET 1334 Thorton Avenue <br /> cm' Pacific STATE Washington ZIP 98047 <br /> CONTRACTOR PHONE: 253-863-6661 CONTRACTOR EMAIL: mcurrie@washingtoncrane.com <br /> CONTRACTOR LICENSE#(REQUIRED): WASHICC1100E CITY OF EVERETT BUSINESS LICENSE#(REQUIRED):C72,1 (..a <br /> PRIMARY CONTACT: 0 OWNER 0 CONTRACTOR El OTHER(Please Specify) Tenant <br /> CONTACT NAME: Justin Roeser c/o CONTACT PHONE: 206-900-2616 <br /> Motor Service Hugo Stamp, Inc. <br /> CONTACT EMAIL: justin.roeser@mshs.com <br /> BUILDING PERMIT APPLICATION <br /> Existing Use of Building: Office/Warehouse Contract Price of Work:$ 65,000 <br /> Proposed Use of Building: Office/Warehouse Heat Source: OGas ❑Electric ❑Other <br /> Building Type: ❑SFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units: ®Commercial ❑Industrial <br /> Type of Project: ❑New ❑Addition ❑Remodel ❑Repair T.I.MOSign ❑Sprinkler ❑Demolition ❑Change of Use <br /> DESCRIPTION OF WORK: Addition of overhead crane within warehouse area of existing building. Work will involve new concrete footings and <br /> structural steel framework for new crane. <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type of Project: _New _ Addn Alteration Repair Type of Project: _New Addn _Alteration _Repair <br /> #of List of Fixtures #of List of Fixtures #of List of Fixtures #of List of Fixtures <br /> Fixtures Fixtures Fixtures Fixtures <br /> A/C—Air Handling Units Heat Pump Toilet Backflow Preventer(Inside Bldg) <br /> Forced Air Systems Unit Heater Bathtub Urinal <br /> Gas Piping Boiler Lavatory(Wash Basin) Drinking Fountain <br /> Water Heater Refrigeration Shower Floor Drain <br /> Gas Fireplace Wood Stove Kitchen Sink&Disposal Grease Trap <br /> Gas Range Ducting Dishwasher Roof Drains <br /> Clothes Dryer Hookups Other: Clothes Washer Medical Gas <br /> Range Hood Water Heater Other: <br /> Exhaust Fan Sink(Service/Bar/Mop/etc.) Other: <br /> SPRINKLER`/SUPPRESSION SYSTEM <br /> Chemical or Water I 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 compl with the State Contractors Law 18.27 RCW and 296.200A WAC. <br /> City of Everett Official Use Only <br /> 7-17-17 I _J/�'�PERMIT# 4 `1I0^ O^ /9 <br /> I <br /> Owner/Authorized Agen •nature Date (Revised 9/23/2016) <br /> 4 <br />