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PERMIT APPLICATION <br /> 4/4P—'_. BUILDING= ECHANICAL/ PLUMBING /SIGN ' mRINKLER/ DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> siiiWi <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> (P)425-257-8810 I FAX 425-257-8857 I(E)everetteps@everettwa.gov I www.everettwa.gov/permits <br /> (Bi : �'�I< .,� PROJECT SITE 1 FORMATION <br /> {Blue�or Blaak ank Only Tease). �., �,,m.. F. ,,,.t. ".� ,.., „k�,�», �' <br /> PROJECT SITE ADDRESS:3120 McDougall Ave, Everett,WA.98201 PROPERTY TAX#: 00439074201100 <br /> • LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> CONTACT INFORMATION " A , <br /> OWNER NAME: UNITED WAY OF SNOHOMISH COUNTY TENANT NAME(If Commercial): UWSC <br /> OWNER MAILING ADDRESS: STREET3120 McDougall Avenue, Suite 200 <br /> c,N Everett, STATE WA. ZIP 98201 <br /> OWNER PHONE:425.374.5500 OWNER EMAIL: info@uwsc.org <br /> CONTRACTOR NAME: Patriot Fire Protection, Inc. <br /> CONTRACTOR ADDRESS: STREET 2707 70th Ave E <br /> CITY Tacoma STATE WA ZIP 98424 <br /> CONTRACTOR PHONE: 253-926-2290 CONTRACTOR EMAIL:jared.heit@patriotfire.com <br /> CONTRACTOR LICENSE#(REQUIRED): PATRIFP099CF CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 024694 <br /> PRIMARY CONTACT: 0 OWNER ®CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: (253)678-3847 <br /> Jared Heit CONTACT EMAIL:jared.heit@patriotfire.com <br /> - BUILDING PERMIT APPLICATION "'"" <br /> Existing Use of Building: Contract Price of Work:$8543 <br /> Proposed Use of Building: Heat Source: ❑Gas ❑Electric ❑Other <br /> Building Type: ❑SFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units: @Commercial ❑Industrial <br /> Type of Project: ❑New ❑Addition ❑Remodel El Repair INT.l. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use <br /> DESCRIPTION OF WORK: <br /> ADD/RELOCATE FIRE SPRINKLERS FOR T.I. WALLS & CEILINGS <br /> ASSOCIATED�aBUILDING PERMIT#(if applicable): <br /> �Y N"'F���,,Mn� 1 y,.�,ax ,r:.,'.. ..t c,t. YF.3 x^`Y <br /> MECHANICAL PERMIT`APPLICATION`"` ".. ,, 'PLUMBING'PERMIT"APPLICATION` <br /> Type of Project: ElNew = Addn =Alteration ®Repair Type of Project: =New Addn =Alteration =Repair <br /> #of List of Fixtures #of List of Fixtures #of List of Fixtures #of 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 /> -tokiNKLERIsu. .i .ESSIOM'SYBTEIVrf, <br /> INumbe of Heads42 <br /> ACKNOWLEDGEMENT::I have revi wed this application and onfirm the information contained herein is true and correct. Work done pursuant to this permit must comply with <br /> current federal,state,and local law. ,he granting of a per • only authorizes approved work and no deviations therefrom.Deviations must first be authorized in writing from the <br /> Building Official before being authori •d under any circ •stance.lam the owner,or lam authorized by the owner of this property to perform the work for which application is made, <br /> and I comply with the State Contractors W and 296.200A WAC. <br /> City of Everett Official Use Only <br /> ArA-7. ./ 4,4 <br /> ,49'' PER'•. q <br /> Owner/Authorized Agent Signature Date (Revised 5/20/2016) <br />