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41ffirPERMIT APPLICATION <br /> BUILDING / MECHANICAL/ PLUMBING / SIGN / SPRINKLER/ DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> FAX 4 <br /> (P)425-257-8810 I FA25-257-8857 I(E)everetteps@everettwa.gov I www.everettwa.gov/permits <br /> (Blue or Black Ink Only Please) PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS: 10200 19th Avenue SE, Everett,WA 98208 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): Costco Wholesale <br /> OWNER MAILING ADDRESS: STREET 999 Lake Drive <br /> cim' Issaquah STATE WA zia 98027 <br /> OWNER PHONE: 425-313-8100 OWNER EMAIL: <br /> CONTRACTOR NAME, Aluminum Products, Inc. <br /> CONTRACTOR ADDRESS: STREET 3633 E Nebraska Avenue <br /> ciT' Spokane STATE WA ZIP 99217 <br /> CONTRACTOR PHONE: 509-484-6400 CONTRACTOR EMAIL: patrickl@alumproducts.com <br /> CONTRACTOR LICENSE#(REQUIRED): ALUMII*213DW CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): <br /> PRIMARY CONTACT: 0 OWNER 0 CONTRACTOR El OTHER(Please Specify) Architect <br /> CONTACT NAME: Tanya Smudraprabhut CONTACT PHONE: 206-962-6498 <br /> CONTACT EMAIL: tanya.smudraprabhut@MG2.com <br /> BUILDING PERMIT APPLICATION <br /> Existing Use of Building: Fuel Facility Contract Price of Work: $ 6,676 <br /> Proposed Use of Building: Fuel Facility Heat Source: ❑Gas ❑Electric DOther <br /> Building Type: ❑SFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units: ®Commercial ❑Industrial <br /> Type of Project: ❑New ❑Addition El Remodel ❑Repair ❑T.I. ®Sign ❑Sprinkler ❑Demolition ❑Change of Use <br /> DESCRIPTION OF WORK: <br /> Replace existing (4)fuel facility canopy signage with(4)new signage. <br /> ASSOCIATED BUILDING PERMIT#(if applicable): B 01+-044 <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type of Project: New Addn Alteration _Repair Type of Project: New Addn Alteration Repair <br /> #of #of <br /> List of Fixtures #of List of Fixtures #of List of Fixtures 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 Shower 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 /> 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 I comply with the State Contractors Law 18.27 RCW and 296.200A WAC. <br /> ,^ City of Everett Official Use(O_nly <br /> / /..fes-)I PERMI (8O(�„00`) <br /> Owner/Authorized A nt Signature Date (Revised 9/23/2016) r� <br /> i`1o5ta4c. A-nt chi -Aviiir1OiIZrd At ,r1i- }ijl COSITi; Wholesale 71/ <br />