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PERMIT APPLICATION <br /> """ BUILDING I MECHANICAL/PLUMBING I SIGN I 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 I(ir)everetteps@everettwa.gov I www.everettwa.gov/permits <br /> (Blue or Black Ink Only Plea..) PROJECT SITE INPOIRMATION <br /> PROJECT SITE ADDRESS: 10200 19th Ave SE PROPERTY TAX#: <br /> LEGAL for new construction: Short Plat/subdivision Lot No_ (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME: Costco Wholesale TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: STREET 999 Lake Drive <br /> cm Issaquah STATE WA zF 98027 <br /> `OWNER PHONE: 425-313-8100 OWNER EMAIL: <br /> , <br /> CONTRACTOR NAME Larry Prescott(Interstate Construction) i n+'rS IOL-c. �JOY1.g. OP )V C , <br /> CONTRACTOR ADDRESS: smear 437 29th Street NE Suite F <br /> erre. Puyallup STATE WA zap 98372,E <br /> CONTRACTOR PHONE: 253-345-0949 CONTRACTOR EMAIL: IaMTy;.rinterstateconstructlongroup_com <br /> CONTRACTOR LICENSE#(REQUIRED): INTERCG974QR raw of EVERETT BUSINESS LICENSE#4REGtUIRED): ')l S(1- <br /> PRIMARY CONTACT: ❑OWNER 0 CONTRACTOR pi OTHER(Please Specify) Project Architect 5 , f'' - 31 i <br /> CONTACT NAME: CONTACT PHONE: 206-962-6831 <br /> Kayla Kerscher CONTACT EMAIL: kayla-kerscher©m9 <br /> BUILDING PERMIT APPLICATION <br /> .� <br /> Existing Use of Building. Contract Pito*of Work;1 �t 0 <br /> Proposed Use of Building:No Ch@na@ Haat Source: ❑Gas DEI: 'c ❑Other <br /> Building Type: DSFR-Detached ❑SFR-Attached ['Duplex ❑Multi-Family-#of Units: z, ommercial , ,industrial <br /> Type of Project: ❑New IDAddition ❑Remodel ['Repair QT.I, ❑Sign ❑Sprinkler ❑Demolition CChange of Use <br /> DESCRIPTION OF WORK: <br /> 1)BAKERY EQUIPMENT UPGRADES-(3)HOBART OVENS (1)HOBART PROOF BOX (3)EXHAUST FAN (4)TRANSFER FAN (1)PIT WASHER <br /> 2)REMOVE AND/OR REPLACE DAMAGED ITEMS(SUCH AS-ACOUSTIC TILE&GRID,FRPP,POLYCARBONATE PANELS BEHIND BUG LIGHT) <br /> ASSOCIATED BUILDING PERMIT X(if applicable): <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION ......-- <br /> m <br /> T <br /> — <br /> Type of Project: New s Aden Alteration -,. • it Typo of Project: New _Addn Alteration air <br /> List of FixturesF ixtof HeftinguresFfxfurss List of Fixtures Fixtures of Rehires <br /> Fixtures0 NC—Air Handling Units 40 Heat Pump D Toilet YB• ow Preventer(Inside Bldg) <br /> 0 Forced Air Systems 0 Unit Heater ) Bathtub rinal <br /> 3 Gas Piping i Boiler ) Lavatory(Wash Basin) 0 Drinking Fountain <br /> Water Heater 0 Refrigeration ) Shower a Floor Drain <br /> 0 Gas Fireplace 0 Wood Stove 2 Kitchen Sink&Dispose 0 Grease Trap <br /> 0 Gas Range ,' .0 Ducting 1 Dishwasher 0 Roof Drains <br /> 0 Clothes DryerrHookups 0 Other: ) Clothes Washer 0 Medical Gas <br /> o Range Hood® 3 ails ovr r Water Heat 0 Other _ <br /> 3 Exhaust Fan 1 outowevicsibarimovietji, /Sink ce/Bar/Mop/etc.1.0 Other. <br /> ,0 0 <br /> SPRI,INKLER!SUPPRESSION SYSTEM ) D fr <br /> 0 hemical or Water 0 No.of Heads <br /> #r _ <br /> ACKNO�DOE✓vfENT•I have reviewed this application and confirm the informatio tamed herein Je free 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 lilt Ih Slate Cohtraetom,t.aw 18.27 RCW and 296.200A WAC. <br /> City of Everett Official Use Only <br /> PE <br /> at i Ill t(tiL <br /> $ R 5 1 'COG <br /> OwnerfAut or gent Signature g.,( 55 1-I Al LZ,c RI?, ff (Revised 9.12 11 <br /> r"mHORIz AGENT 1 "'SrcowH°Inkill PLITIi0RI Z D ftG-6--N1 <br /> is <br />