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44-77 PERMIT APPLICATION <br /> BUILDING / MECHANICAL / PLUMBING / SIGN /SPRINKLER / DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> (P)425-257-8810 I FAX 425-257-8857 1(E)everetteps@everettwa.gov l www.everettwa.govlpermits <br /> (Blue or Black Ink Only Please) PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS: 10210 Evergreen Way 98204 PROPERTY TAX#: 00535200000601 <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME: Everett Inns, LLC TENANT NAME(If Commercial): Best Western Hotel <br /> OWNER MAtL1NG ADDRESS: STREET 3500 188th ST SW, Suite 121 <br /> CITY Lynnwood STATE WA ZIP 98037 <br /> rveii,cq n>_rnNc• 425-77 -9 OO !oir ER ereDn - alf ru,roni�,1R1)hntp r.irn,In rnm <br /> ---- 1—•-"—' -...-- -....... . ,: `• ^ '�'_...tet.- ,. <br /> CONTRACTOR NAME: Carpita Construction dba CCI <br /> CONTRACTOR ADDRESS: STREET 2512 E Sprague <br /> cmi' Spokane STATE WA ZIP 99202 <br /> CONTRACTOR PHONE: 509-535-2122 CONTRACTOR EMAIL: carpitaconstruction@gmail.com <br /> CONTRACTOR LICENSE#(REQUIRED): CCI****869BM CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): led for_ <br /> PRIMARY CONTACT: 0 OWNER 0 CONTRACTOR V OTHER(Please Specify) Architect <br /> CONTACT NAME: CONTACT PHONE: 206-660-8628 <br /> Dan Baggen CONTACT EMAIL: baggendan@comcast.net <br /> BUILDING PERMIT APPLICATION <br /> Existing Use of Building: Hotel Contract Price of Work:$ 51,000 <br /> E VI.JUJCU VJC VI VUIIUII11,. H.6Fft...1. I fICOl JUL!!L.C. VVGJ yJ t_ICL.IIIV VVLIICI <br /> Building Type: ❑SFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units: Wommercial ❑Industrial <br /> Type of Project: ❑New WAddition l Remodel ❑Repair DTA. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use <br /> DESCRIPTION OF WORK: <br /> Interior remodel to provide areas for storage and add 38 SF to the lobby. <br /> ASSOCIATED BUILDING PERMIT#(if applicable): NA <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type of Project: _New _ Addn _Alteration _Repair Type of Project: _New _Addn _Alteration _Repair <br /> Fixtures List of Fixtures Fixtures List of Fixtures Fixtures List of Fixtures Fixtures List of 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 vvoou Stove Kircnen 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 /> SPRINKLER I SUPPRESSION SYSTEM <br /> Chemical or Water 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.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 I comply with the State Co -ctors Law 18. 7 RCW and 296.200A WAC. <br /> City of Everett Official Use Only <br /> / _- 4 PERMIT# <br /> L/i lt�i�.- 4/ehv/ 1 h [( <br /> � ' / o <br /> Owner/Authorized went Si nature �f Date (Revised 9/23/2016) <br /> ' <br /> tZ <br />