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MI PERMIT APPLICATI <br /> BUILDIN i MECHANICAL/ PLUMBING /SIGSPRINKLER/ DEMOLITION <br /> E V E R E T TCITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> WASHINGTON (P)425-257-8810 I FAX 425-257-8857 I(E)everetteps@everettwa.gov I www.everettwa.gov/permits <br /> (Blue or'Black Ink Only Please) `n PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS:1200 INDUSTRY WAY S \p(' PROPERTY TAX#:28040200402400 <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME: DCT SEAWAY BUSINESS CENTER-Mark Soult TENANT BUSINESS NAME(Commercial): ELDORADO STONE <br /> OWNER MAILING ADDRESS: STREET 1200 Industry Way <br /> c,T„ Everett STATE WA ZIP 98203 <br /> OWNER PHONE:425.349.4107 OWNER EMAIL: <br /> CONTRACTOR NAME, i : , , CONSTRUCTION - Matthew Flanagan <br /> CONTRACTOR RRAINSCV S REDO ELLIOT AVE. W. <br /> Cin, ATTLE STATE WA. ZIP 98119 <br /> CONTRACTOR PHONE:206.765.6927 CONTRACTOR EMAIL:builders@builderup.COm <br /> CONTRACTOR LICENSE#(REQUIRED)C� -- /V— VO CITY OF EVERETT BUSINESS LICENSE#(REQUIRED) <br /> PRIMARY CONTACT: ❑OWNER 0 CONTRACTOR 0 OTHER(Please Specify) Architect <br /> CONTACT NAME: CONTACT PHONE:425.317.8017 <br /> Tom Griffin CONTACT EMAIL:tom@caparchgroup.com <br /> BUILDING INFORMATION <br /> Existing Use of Building:MANUFACTURING Contract Price of Work:$20,000 <br /> Proposed Use of Building:NO CHANGE Heat Source: ❑Gas ❑Electric DOther <br /> BUILDING USE: ❑SFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: I(Commercial ❑Accessory Structure <br /> Type of Project: ❑New ❑Addition ❑Remodel ❑Repair DT.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use <br /> DESCRIPTION OF WORK: Tenant Improvement of existing Office-Staff break area.Addition of interior partition walls for new offices <br /> 942 s.f. existing space at 2nd floor level. <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Fixture Fixture Fixture Fixture <br /> Count List of Fixtures Count List of Fixtures Count List of Fixtures Count List of-" tures <br /> A/C-Air Handling Units Gas Piping Backflow Preventer(Inside Bldg) Shower,T-. or Combo <br /> Boiler Gas Range Clothes Washer Sinker emmercial(3-comp,prep,floor) <br /> Clothes Dryer Heat F>rap&Ductless Dishwasher nk-Residential(kitchen,bath,bar) <br /> Duct System(Remodel) R9frigeration Drinking Fountain Sink-Utility,laundry,mop <br /> Exhaust Fans(Residential) /' ommercial Ventilatior Floor Drain Toilet <br /> Exhaust Hood(Type I) (Not Heat/AC system) Hose Bibb Urinal <br /> Exhaust Hood(Type II) Water Heater Interceptor-Grease Waste/Water Piping Repair <br /> Exhaust Hood(Residential Wood Stove Interceptor-Sand/Oil Water Service(behind meter) <br /> Forced Air Systems Other: Medical Gas Water Valves or Fixtures <br /> Gas Fireplace/Inse og Roof Drains Water Heater <br /> SPRINKLER/ UPPRESSION SYSTEM Sewage ctor or Sump Pump Other: <br /> Water Suppression Syst No.of Heads <br /> Chemical Suppressio -ystem I 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.1 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 ROW and 296.200A WAC. <br /> City of Everett Official Use( Only <br /> / // PE ��� l <br /> xs <br /> ..LL�-:-.... lc Y1..t.. /0....:....a AA/AA/7/IA oI <br /> 1/2— <br />