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w <br />PERMIT APPLICATION <br />BUILDING/MECHANICAL/PLUMBING/SIGN/SPRINKLER/DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everett, WA 98201 425-257-8810 FAX 425-257-V.57 www.e.verethva.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PAt <br />SITE ADDRESS: 2631 Walnut Street <br />PROPERTY TAX IF <br />005 <br />�# PERMIT# <br />_ <br />LEGAL for new construction: Short Pladsub:fivision See attached l.ol No. (attach copy of long legal description) <br />OWNER PacWesl Energy, LLC db;: Jacksons Food Stores <br />Address 3450 East Commercial Court <br />Phone/E•mail (208)88B-9508/jack.davis@jacksons.com <br />cdy/State2ip Meridian, ID 83642 <br />APPLICANT: O,wner _Owner's Agent Contractor Contractor's Agent _Tenant l"Istro-eoaiare,o1,cxc,it,.,Lvoc,.,lodo..o+.adosoaral <br />CONTRACTOR To be determined <br />L 81 Lic. # COE Bus. Lic. # <br />Address Phone/email <br />TENANT BUSINESS NAME <br />' 1+1 <br />NIA TnCICSUIIS ��re fVn' GAL <br />CONTACT FOR PERMIT Caryl Pinner, Barghausen Engineers, I <br />18215 - 72nd Ave S Kent, WA 98032 <br />phomdE mail (425) 251-6222 /cpinner@barghausen.com <br />CONTRACT PRICE OF WORK Ljf gL{ V 95Q- <br />BUILDING PERMIT APPLICATION <br />Existing Use of Building Retail / Carwash / Fuel Canopy <br />HEAT SOURCE: <br />Proposed Use of Building Retail / Fuel Canopy <br />Gas_ Electric_X Other__ <br />Building type: _ Single Family _ Duplex _Townhouse _ Multi -Family X Commercial <br />Type of project: X New _ Addition _ Remodel Repair _ T.I. Sign Sprinkler X Demolition Change of Use <br />DESCRIPTION OF WORK (additional space provided on the back): <br />Demolish all existing buildings and site improvements and redevelop the site with a new 2,996 sf convenience store, a <br />4,752sf 6 MPD gas canopy, and new USTs including (1) 20,000, (1) 10,000. and (1) 8.000 gallon tanks. The project will <br />also reconstruct curb ramps at the intersection of Walnut Street and Everett Avenue as required. <br />MECHANICAL PERMIT APPLICATION <br />PLUMBING PERMIT APPLICATION <br />Type of Project: X New_Addn —Alteration —Repair <br />l Show Number (#) of fixtures <br />Type of Project: _ 4ew_Addn _Alteration _Repair <br />Show Number (#) of fixtures <br />- I <br />A/C — air handlinq units <br />Toilet <br />1 I <br />Forced air systems <br />Gas piping <br />Bathtub <br />Lavatory (wash basin) 411111111 <br />Shower <br />Kitchen sink 8 disposal <br />Dishwasher <br />Clothes washer <br />I <br />t" <br />Gas fireplace <br />l I <br />Gas range <br />I <br />Clothes dryer <br />Range hand <br />Water heater <br />Sink service/bar/mo letr.. <br />BackBow preventer <br />Urinal <br />Drinking Fountain <br />Floor drain <br />Exhaust (an <br />' <br />Heat pump <br />Unit heater <br />Boiler <br />Refn eralion <br />Woodslove <br />Grease Ira <br />Ducting <br />Roof drains <br />Other_ <br />_ <br />Medical Gas <br />SPRINKLER <br />I SUPPRESSION SYSTEM <br />Other Floor <br />Number of Heads I <br />I <br />Other: Sink <br />1 hereby certify that I have read and examined this appl:ca6an and know the same to be Live and correct. All provisions of laws and ordinances goyemin9 This type of work will he complied <br />wth whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provision of any other slate or local law regulating constmClion <br />That I am authonee l by the owner of this property to perform the work for which application is made and I comply with the Slate Contractors Law 18 27 RCA and 296.200A WAC. <br />51 <br />OwnerlA 1 orirflAgent Signature Date (Revised 612012) <br />