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474-77PERMIT 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 1 FAX 425-257-8857 1 (E)everetteps@everettwa.gov 1 www.everettwa.gov/permits <br /> (Blue or Black Ink Only Please) PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS: 10315 19th Ave 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: Julia Yang TENANT NAME(If Commercial): Everett Office <br /> OWNER MAILING ADDRESS: STREET 10315 19th Ave SE <br /> CITY Everett STATE WA ZIP 98208 <br /> OWNER PHONE: 408-219-3249 OWNER EMAIL: yangyezhi@gmail.com <br /> CONTRACTOR NAME: Columbia Fire, Inc. <br /> CONTRACTOR ADDRESS: STREET 111 S Findlay Street <br /> crrr Seattle STATE WA ZIP 98108 <br /> CONTRACTOR PHONE: 206-232-8569 CONTRACTOR EMAIL: derek@columbiafire.net <br /> CONTRACTOR LICENSE#(REQUIRED): COLUMFI952MG CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 048229 <br /> PRIMARY CONTACT: ❑ OWNER ® CONTRACTOR 0 OTHER(Please Specify)__ <br /> CONTACT NAME: CONTACT PHONE: 206-232-8569 <br /> Derek Weddington CONTACT EMAIL: derek@columbiafire.net <br /> BUILDING PERMIT APPLICATION <br /> Existing Use of Building: Office Space Contract Price of Work: $ 2000 <br /> Proposed Use of Building: Office Space Heat Source: ❑Gas ❑Electric ❑Other <br /> Building Type: ❑SFR-Detached DSFR-Attached ❑Duplex ❑Multi-Family-#of Units: ®Commercial El Industrial <br /> Type of Project: ❑New ®Addition ❑Remodel ❑Repair RIT.I. ❑Sign ®Sprinkler ❑Demolition ❑Change of Use <br /> DESCRIPTION OF WORK: <br /> NFPA 13-2016, TI, Add Sprinkler Heads. Total Sprinklers: 4 C6kC O C '0 ( <br /> ASSOCIATED BUILDING PERMIT#(if applicable): 1 <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 #of #of <br /> Fixtures List of Fixtures Fixtures List of Fixtures Fixtures List of Fixtures Fixtures List of 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 I 4 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 complyjlyt--/State Contractors Law 27 RCW and 296.200A WAC <br /> City of Everett Official Use Only <br /> /� 01/24/19 PERMIT#i Pt 0 <br /> t ' 00 S <br /> Owner/naithorize.T A•-nt g •t.re Date (Revised 9/23/2016) <br />