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PERMIT APPLICATION <br /> BUILDIN=MIECHANICAL/ PLUMBING /SIG _ RINKLER/ DEMOLITiON <br /> #.17001-41 <br /> NilI CITY OF EVERETT PERMIT SERV <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: 2Q U 2 et I 1314 A\(t. PROPERTY TAX#: 00439168203300 <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME: 2902 Colby LLC TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: STREET 2707 Colby Ave #1200 <br /> cinr Everett STATE WA <br /> ZIP 98201 <br /> OWNER PHONE: OWNER EMAIL: <br /> CONTRACTOR NAME: Wolfe Fire Protection <br /> CONTRACTOR ADDRESS: STREET 17321 Tye St SE Suite B <br /> carr Monroe STATE WA <br /> 21P 98272 <br /> CONTRACTOR PHONE: (360) 794-7926 ext 206 CONTRACTOR EMAIL: jodij@wolfefp.com <br /> CONTRACTOR LICENSE#(REQUIRED):WOLFEFP 90 6DD CITY OF EVERETT BUSINESS LICENSE#(REQUIRED):050129 <br /> PRIMARY CONTACT: 0 OWNER 0 CONTRACTOR L! OTHER(Please Specify) A 0 <br /> CONTACT NAME: CONTACT PHO e <br /> �a�q y c.e-ci It � 253 �� 3 �n3 <br /> 1 CONTACT EMAI : C&I L1 ' LOG t Pf c -CO ft& <br /> BUILDING PERMIT APPLICATION <br /> Existing Use of Building: Contract Price of Work:$ 1000.00 <br /> Proposed Use of Building: Heat Source: ❑Gas ❑Electric ❑Other_ <br /> Building Type: OSFR-Detached ❑SFR-Attached El Duplex ❑Multi-Family-#of Units: ©Commercial [Industrial <br /> Type of Project: CI New ❑Addition CI Remodel ❑Repair ❑T.I. El Sign ®Sprinkler ❑Demolition ❑Change of Use <br /> DESCRIPTION OF WORK: <br /> lid d?,v� z s(w� ' t-* " k-e-G- J a-rt c( (,1 ) 'Sw 'h4-1( V&(v:e (i N No r trt.c,•,(,(H o e t/ <br /> poll I-%c4N. ) 6Wiels spriNc *i syrlaw• ,,. ) 6 bde . <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> MECHANICAL PERMIT APPLICATION ' PLUMBING PERMIT APPLICATION <br /> Type of Project: New f Addn _ Alteration ,___•_Repair Type of Project: New Addn Alteration _Repair <br /> Fixtures List of Fixtures Fiume s List of Fixtures #of List of Fixtures #of List of Fixtures <br /> Fixtures Fixtures <br /> NC-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: ,Dishwasher <br /> Washer Medical Gas <br /> Range Hood Water Heater Other: <br /> Exhaust Fan Sink(Service/Bar/Mop/etc.) Other: <br /> SPRINKLER I SUPPRESS ON SYSTEM <br /> 4. 'Number of Heads U i t a _.- l . <br /> ACKNOWLEDGEMENT:I have reviewed this appli ation and confirm the inf rmation 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 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 cir mstance.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 1 comply with the State Contractors Law 18.27 RC nd 296.200A WAC. <br /> City of Everett Official Use Only <br /> �i r 1 PEF �K\O --sc(-)--) <br /> O er/Authorizeen <br /> g t Si ature Date (Revised 5/20/2016) <br />