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PERMIT APPLICATIO <br /> I& <br /> BUILDIN ECHANICAL/ PLUMBING /SIGN RINKLER/DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET,EVERETT,WA 98201 <br /> (P)425-257-8810 1 FAX 425-257-8857 1(E)everetteps@everettwa.gov I www.everettwa.gov/permits <br /> PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS:305 SE Everett Mall Way,Ste.31 PROPERTY TAX#: 28051800304300 <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> CONtACT`aNFORIfAAT10Nf <br /> OWNER NAME: GreenTree Plaza 06 A LLC TENANT NAME(if Commercial): <br /> OWNER MAILING ADDRESS: STREET C/O ACF Property Management 12411 Ventura Blvd <br /> crry Studio City STATE CA Z1p 91604 <br /> OWNER PHONE: OWNER EMAIL: <br /> CONTRACTOR NAME: Davis Schueller <br /> CONTRACTOR ADDRESS: STREET 4601 Chennoult Beach Rd Suite 200 <br /> MUKILTEO, WA <br /> CITY STATE ZIP <br /> CONTRACTOR PHONE: P : "ns5) 7 <br /> (a27CONTRACTOR EMAIL:75-9400 bhaskett@davisschueller.com <br /> CONTRACTOR LICENSE#(REQUIRED): DAVISS1105PN CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): <br /> PRIMARY CONTACT: ❑OWNER ❑CONTRACTOR ❑OTHER(Please Specify) Architect <br /> CONTACT NAME: April Tassani (Ware Malcomb) CONTACT PHONE: 425-670-6706 <br /> CONTACT EMAIL: atassani@waremalcomb.com <br /> BUILDING PER APP <br /> LICATIQN f <br /> Existing Use of Building: M Contract Price of Work:$ 90,000 . <br /> Proposed Use of Building: no change Heat Source: ❑Gas ®Electric ❑Other <br /> Building Type: ❑SFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units: INCommercial ❑Industrial <br /> Type of Project: ❑New ❑Addition ❑Remodel ❑Repair ISIT.I. ❑Sign ❑Sprinkler ❑Demolition ❑Chan a of Use <br /> DESCRIPTION OF WORK: Combining 2 existing retail suites (nail salon and former restaurant) Into 1 retail space for future tenant. <br /> Interior renovations to include, minor demolifion, and new partitions for landlord vanilla shell build out. Retail store to be permitted <br /> by tenant at later date. <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 IShower 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 /> Number 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 1 comply with the State Contractors Law 18.27 RCW and 296.200A WAC. <br /> City of Everett Oficial Use Only <br /> 2 PERMIT# <br /> O ner uthorized AgMt Signature Date (Revised 10/1212015) <br />