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PERMIT APPLICATI ,II III <br /> BUILDING / MECHANICAL/PLUMBING I SIGN I SPRINKLER/DEMOLITION <br /> stigi CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> (P)425-257-8810 I FAX 425-257-8857 I(E)everetteps@everettwa.gov I wwweverettwa.gov/perrnits <br /> (Blue or Black Ink On , Please) PROJECT SITE INFORMATION <br /> — -- <br /> PROJECT SITE ADDRESS:15 SW Everett Mall Way PROPERTY TAX#: <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> ROSEN-HARBOT ILE CZMOLRCIAL REAL ESTATE <br /> OWNER NAME: <br /> 96ifor L.; TENANT BUSINESS NAME(Commercial): Mariner Finance <br /> OWNER MAILING ADDRESS: sTREET 1800 112TH AVENUE NE <br /> CITY BELLEVUE STATE WA ZIP 98004 <br /> OWNER PHONE:425.454.3030 OWNER EMAIL:CONNOR@ROSENHARBOTTLE.COM <br /> , . <br /> CONTRACTOR NAME:FIaSh Retail Services, Inc. <br /> CONTRACTOR ADDRESS: STREET 2306 SW 54th ST <br /> Cape Coral <br /> STATt, FL zip 33914 <br /> CONTRACTOR PHONE:316.402.3814 CONTRACTOR EMAIL:flashres@gmail.corn <br /> CONTRACTOR LICENSE#(REQUIRED): FLASHRC863BT CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): APPLIED FOR <br /> PRIMARY CONTACT: DOWNER 0 CONTRACTOR 0 OTHER(Please Specify)_ .t.'AiP <br /> , 497-yi <br /> ... <br /> CONTACT NAME: CONTACT PHONE:316 402 3814 <br /> Jeffrey Smith CONTACT EMAIL:fiaShrCS@grnaiLcOM <br /> - <br /> , — <br /> BUILDING INFORMATION <br /> Existing Use of Building:B- Business Contract Price of Work:41r8e735"8"-- <br /> Proposed Use of Building:B -Business Heat Source: OGas 0Electric 00ther <br /> BUILDING USE: OSFR ETownhouse 17Duplex CADU EiMulti-Farnily-#Units: 6.f]Commercial EAccessory Structure <br /> ...... ... <br /> Type of Project: ENew EAddition ERemodel L [Repair ET.1, 0Sign OSprinkler IlDemolition EChange of Use <br /> DESCRIPTION OF WORK: Tenant fit-up of an existing vacant tenant space for a Mariner Finance Office. Work includes new walls, <br /> doors, finishev -::'-. - ' ' - - '.._ - -• , . : , ---- : ..- ,. - .e"-- -; • - ' • • I-- .Ing, T 00 - . • 0. •-• ng <br /> fv\bie <br /> ASSOCIATED BUILDING PERMIT#(if applicable): JA/LI andt ,u'f <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> — — <br /> Fixture Fixlure Fixture Fixture <br /> List of Fixtures List of Fixtures List of Fixtures List of Fixtures <br /> Count Count Count Count <br /> A/C-Air Handling Units Gas Piping Backflow Preventer(Inside Bldg) Shower,Tub,or Combo <br /> Boiler Gas Range Clothes Washer Sink-Commercial(3-comp.prep,floor) <br /> Clothes Dryer Heat Pump&Ductless Dishwasher Sink-Residential(kitchen,bath,bar) <br /> , Duct System(Remodel) Refrigeration Drinking Fountain Sink-Utility,laundry,mop <br /> , <br /> Exhaust Fans(Residential) Commercial 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/Insert/Log Roof Drains Water Heater <br /> — <br /> SPRINKLER/SUPPRESSION SYSTEM Sewage Elector or Sump Pump Other: <br /> Water Suppression System No.of Heads <br /> - <br /> Chemical Suppression System No.of Heads <br /> ACKNOWLEDGEMENT:I have reviewed this application and confirm the information contained herein is true and coffee!. Work done pursuant to this permit must comply with <br /> current federal,state,and local law, The granting of a pert nit 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.l am the owner,or I am authorized by the owner of this property to perform the work for which application is made, <br /> and(comp with the 'tale Contractors Law 18,27 RCW and 296.200A WAC. <br /> City of Everett Official Use Only <br /> / / <br /> / / <br /> PERMIT# 1 ,q <br /> / ,,, _ <br /> 42?) 2.piq oir <br /> OwnplrAufhorized Agent Signature Date (Revised 10/10/2018) <br />