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840 N BROADWAY A 2020-08-26
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840 N BROADWAY A 2020-08-26
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8/26/2020 11:40:41 AM
Creation date
10/31/2019 8:59:47 AM
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Address Document
Street Name
N BROADWAY
Street Number
840
Unit
A
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4Err PERMIT APPLICATION <br /> BUILDING / MECHANICAL/ PLUMBING /SIGN /SPRINKLER/ DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> (P)425-257-8810 I FAX 425-257-8857 1(E)everetteps@everettwa.gov I www.everettwa.gov/permits <br /> (Blue or Black Ink Only Please) PROJECT� SITE INFORMATION a <br /> PROJECT SITE ADDRESS:840 North Broadway \cwt PROPERTY TAX#: 00551300001900 <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME: GPT PROPERTIES TRUST TENANT BUSINESS NAME(Commercial): C. S. 0. <br /> OWNER MAILING ADDRESS: STREET TWO NEWTON PL 255 WASHINGTON ST <br /> CITY Newton STATE MA zip 02458-1634 <br /> OWNER PHONE: OWNER EMAIL: <br /> CONTRACTOR NAME:Heattransfer Co. <br /> CONTRACTOR ADDRESS: STREET P.O. Box 1268 <br /> CITY Carnation STATE WA ZIP 98014-1268 <br /> CONTRACTOR PHONE:425-885-3247 CONTRACTOR EMAIL:heattransfer1@aol.com <br /> CONTRACTOR LICENSE#(REQUIRED):HEATT*`206Q0 CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 023094 <br /> PRIMARY CONTACT: ❑OWNER 0 CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE:425-885-3247 <br /> Richard Sinnema CONTACT EMAIL:heattransfe;I @aol.com <br /> BUILDING INFORMATION J <br /> Existing Use of Building:Office Contract Price of Work:$16.540.00 <br /> — <br /> Proposed Use of Building:Office Heat Source: ❑Gas ❑E,ectric ❑Other__ <br /> BUILDING USE: DSFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: ❑✓Commercial ❑Accessory Structure <br /> Type of Project: ❑New ❑Addition ❑✓Remodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler ❑Denirnlition ❑Change of Use <br /> DESCRIPTION OF WORK: Rework ductwork and diffusers to accommodate new floor plans. All equipment and trunk ductwork <br /> existing. <br /> !ASSOCIATED BUILDING PERMIT#(if applicable): <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 /> oiler Gas Range Clothes Washer Sink-Commercial(3-comp,prep.floor) <br /> lothes Dryer Heat Pump&Ductless Dishwasher Sink Residential(kitchen,bath,bar) <br /> D ct System(Remodel) Refrigeration <br /> Drinking Fountain Sink-Utility,laundry,mop <br /> xhaust Fans(Residential) Commercial Ventilation 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 w <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 be re 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 w the State Contractors Law 8.27 RCW and 296.200A WA C. <br /> / / City of Everett Official Use Only <br /> • <br /> `' - 7 z/ �� PEVIA �� <br /> -C1 O�— 291 <br /> Tize. Ag: atur Date (Revised 10/10/2018) <br />
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