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PERMIT APPLICATIOI' <br /> 4Err BUILDING ECHANICAL / PLUMBING / SIGN RINKLER/ DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> (P)425-257-8810 I 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: 10101 7TH AVE SE---W ) D PROPERTY TAX#:00397000002201 <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME: FRG REED LLC TENANT BUSINESS NAME(Commercial): WILDREED <br /> OWNER MAILING ADDRESS: STREET44 MONTGOMERY ST FL 41ST <br /> CITY SAN FRANCISCO STATE CA ZIP 94104 <br /> OWNER PHONE: 425-423-0555 / 1D r ,.._.,r,��IOWNER EMAIL:TIMOTHY..SCHIRMER215@GMAIL,COM <br /> CONTRACTOR NAME:G&S-Heating- ( . ivlit/ 1174, 4' 6111A.1 IAL <br /> CONTRACTOR ADDRESS: STREET 3409 EVERETT Ave <br /> cin, EVERETT STATE WA ZIP 98201 <br /> CONTRACTOR PHONE:425-610-4257 CONTRACTOR EMAIL:JONATHAN@GSHEATING.COM <br /> CONTRACTOR LICENSE#(REQUIRED . K CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 19685 <br /> PRIMARY CONTACT: ❑OWNER 0 CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE:425-309-6507 <br /> JONATHAN FARRELL CONTACT EMAIL:JONATHAN@GSHEATING.COM <br /> BUILDING INFORMATION <br /> Existing Use of Building:OFFICE _Contract Price of Work: $12,000.00 <br /> Proposed Use of Building:OFFICE Heat Source: OGas ❑Electric ❑Other <br /> BUILDING USE: ❑SFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: ❑✓Commercial ❑Accessory Structure <br /> Type of Project: ❑New ❑Addition ❑Remodel ❑✓Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use <br /> DESCRIPTION OF WORK: Replacing heating and cooling system with like in kind and size system <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 /> 1 NC–Air Handling Units 1 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) Refrigeration Drinking Fountain Sink-Utility,laundry,mop <br /> Exhaust 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 /> 1 Forced Air Systems Other: Medical Gas Water Valves or Fixtures <br /> Gas Fireplace/Insert/Log Roof Drains Water Heater <br /> SPRINKLER I 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 /> /�/� PERMITTy\ 1�� —`/�, <br /> ??5,-)tai-1:_a4f., �. ;2.4.).O.Y�f: 3-11-19 ( r` )//�l <br /> Owner/Authorized Agent Signature Date (Revised 10/10/2018) <br /> 1z- <br />