1122 INDUSTRY ST ADVANCED TRAFFIC PRODUCTS 2020-01-29

PERMIT APPLICATIOI BUILDING/MECHANICAL/PLUMBING/SIGN/SPRINKLER/DEMOLITION j:4_ CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET,EVERETT,WA 98201 (P)425-257-8810 I FAX 425-257-8857 1(E)everetteps@everettwa.gov I www.everettwa.gov/permits (Blue or Black Ink Only Pleas.) PROJECT SITE INFORMATION PROJECT SITE ADDRESS:1122 Industry St. Everett, WA. 98203 PROPERTY TAX#: LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) ` CONTACT INFORMATION OWNER NAME: Mike Smith TENANT BUSINESS NAME(Commercial): ATP OWNER MAILING ADDRESS: STREET 1122 Industry St. CITY Everett STATE WA ZIP 98203 OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME:Owner CONTRACTOR ADDRESS: STREET CITY STATE ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: CONTRACTOR LICENSE#(REQUIRED): CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): PRIMARY CONTACT: O OWNER 0 CONTRACTOR 0 OTHER(Please Specify) Agent CONTACT NAME: CONTACT PHONE:425-754-2295 Jack LaCasse CONTACT EMAIL:jacklacasse©yahoo.com BUILDING INFORMATION Existing Use of Building:Ofhce Contract Price of Work:$ S"-.4J Proposed Use of Building:Office Heat Source: OGas DElectric ['Other BUILDING USE: OSFR ❑Townhouse ❑Duplex OADU ['Multi-Family-#Units: ©Commercial DAccessory Structure Type of Project: ONew DAddition ❑Remodel ❑Repair ©T.I. DSign QSprinkler ©Demolition DChange of Use DESCRIPTION OF WORK: Convert existing 13'x8'storage space to enlarge existing office space. Remove 13'x8'non bearing partition wall. Install 108 sq.ft. ceiling grid, carpet and paint. Install 4 lights&1 duct diffuser in grid. Re-position existing sprinkler head from upward position to downward position extend through grid. ASSOCIATED BUILDING PERMIT#(if applicable): MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION Fixture Fixture Fixture Fixture Count List of Fixtures count List of Fixtures Count list of Fixtures Count List of Fixtures NC—Air Handling Units Gas Piping Backflow Preventer(Inside Bldg) Shower,Tub,or Combo Boiler Gas Range Clothes Washer Sink-Commercial(3-comp,prep,floor) Clothes Dryer Heat Pump&Ductless Dishwasher Sink-Residential(kitchen,bath,bar) Duct System(Remodel) Refrigeration Drinking Fountain Sink-Utility,laundry,mop Exhaust Fans(Residential) Commercial Ventilabior Floor Drain Toilet Exhaust Hood(Type I) (Not Heat/AC system) Hose Bibb Urinal Exhaust Hood(Type II) Water Heater Interceptor-Grease Waste/Water Piping Repair Exhaust Hood(Residential) Wood Stove Interceptor-Sand/Oil Water Service(behind meter) Forced Air Systems Other: Medical Gas Water Valves or Fixtures Gas Fireplace/Insert/Log Roof Drains Water Heater SPRINKLER 1 SUPPRESSION SYSTEM Sewage Ejector or Sump Pump Other: Water Suppression System No.of Heads Chemical Suppression System J No.of Heads 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 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 Building Official before being authorized under any circumstance.lam the owner,or/am authorized by the owner of this property to perform the work for which application is made, and I comply with the State Contractors Law 18.27 RCW and 298.200A WAC. QCity of EverettEvOfficial Use Only A/F 1,erlAuthorized ignatur (Revised 10/10/2018)