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PERMIT APPLICATION <br /> BUILDING/MECHANICAL/ PLUMBING /SIGN /SPRINKLER/DEMOLITION <br /> ,/ CITY OF EVERETT PERMIT SERVICES <br /> vat3200 CEDAR STREET,EVERETT,WA 98201 <br /> (P)425-257-8810 l FAX 425-257-8857 l(E)everetteps@everettwa.gov I www.everettwa.gov/permits <br /> (Blue or Black Ink Only Please) PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS: 4425 S 3RD AVENUE PROPERTY TAX#: 29053200200100 <br /> LEGAL for new construction: Short Plat/subdivision SEC 32 TWP 29 RGE 05 Lot No. (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME: Shawn Javid TENANT NAME(If Commercial): ACROWOOD CORP <br /> OWNER MAILING ADDRESS: STREET 4425 S 3RD Avenue <br /> cmi' EVERETT STATE WA ZIP 98203 <br /> OWNER PHONE: 425-609-1248 OWNER EMAIL: Sjavid@acrowood.com <br /> CONTRACTOR NAMED-'OW NAL-)l Vv i I 414 ptAtvan 1 mtM 4 611A- W 1\ <br /> CONTRACTOR ADDRESS: STREET <br /> CITY STATE ZIP <br /> CONTRACTOR PHONE: CONTRACTOR EMAIL: <br /> CONTRACTOR LICENSE#(REQUIRED): CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): <br /> PRIMARY CONTACT: 0 OWNER 0 CONTRACTOR ca OTHER(Please Specify) Capital Architects' <br /> CONTACT NAME: CONTACT PHONE: 425-317-8017 <br /> Sandra Higgins CONTACT EMAIL: Sandra@ca! = -•roup.com <br /> BUILDING PERMIT APPLICATION <br /> Existing Use of Building: Manufacturing/Office Contract Price of W.1:$ 30,000 <br /> Proposed Use of Building: Manufacturing/Office Heat Source: 44Ga. ❑Electric ❑Other <br /> Building Type: ❑SFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units:`, YA Commercial ❑Industrial <br /> Type of Project: ❑New ❑Addition ❑Remodel ❑Repair 17T.I. ❑Sign ❑Sprinkler •emolition ❑Change of Use <br /> DESCRIPTION OF WORK: <br /> c�-ave Gl1 CICFCA -s e res‘oce -#1Scaeac- , - __ _� — •••, - - — <br /> Remove all aged elements and restore space to clean,painted,with lighting upgrades.All work shall be nonstructuraltoilet rooms shall be upgraded to ADA compliance.Replace In kind exterior windows with energy efficient windows,Install new flooring.Add low voltage throughout. <br /> Alt woe . shall be non-5 jt ri 'l. crsaw‘S sl.pctl zidred cs:N-vcVn•nees <br /> ASSOCIATED BUILDING PERMIT#(if applicable): ?..exGr_11 \C.1rsd. e.�g.`\c' W(citi.xs< ,i(Nakt:741/4---eitym-Oezetrerrotiv <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 o- ixtures <br /> Fixtures Fixtures 'fixtures 3Lires <br /> _ <br /> A/C-Air Handling Units Heat Pump Toilet Backflow r eventer(Inside Bldg) <br /> Forced Air Systemsnit Heater Bathtub Urinal <br /> Gas Piping iler Lavatory(Wash Basin) , Dri, mg Fountain <br /> Water Heater Refriger.,'r.n Shower oor Drain <br /> Gas Fireplace Wood stove Kitchen Sink& Grease Trap <br /> Gas Range Du •ng Dishwasher ' Roof Drains <br /> Clothes Dryer Hook • er: Clothes Was =c' Medical Gas <br /> Rang oo Water Hea Other: <br /> Exhaust Fa� Sink(S a/Bar/Mop/ .) Other: <br /> SPRINKLER/SUPPR =SION SYSTEM <br /> Chemical or Water 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 a.ly with the State Contractors Law 18.27 RCW and 296.200A WAC. <br /> - <br /> ` City of Everett Official Use Only <br /> BLit, -15 ff) PE'(I #k. soco <br /> nr2.3 <br /> Ow‘-'A'thor''�'�'Jgent Signature Date (Revised 9/23/2016) <br />