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PERMIT APPLICATION <br /> BUILDING ECHANICAL/PLUMBING /SIGN / INKLER/DEMOLITION <br /> #P11,41 CITY OF EVERETT PERMIT SERVICES <br /> ��tl 3200 CEDAR STREET, EVERETT,WA 98201 <br /> (P)425-257-8810 I FAX 425-257-8857 I(E)everetteps@everettwa.gov 1 www.everettwa.gov/permits <br /> (Blue or Black Ink Only Please), PROJECT SITE INFORMATION: ; z . <br /> PROJECT SITE ADDRESS: 3105 Pine Street PROPERTY TAX#: <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> ;CONTACT INFORMATION. <br /> OWNER NAME: Hollander Investments, Inc. TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: STREET 119 N. Commercial Street, Suite 165 <br /> CITY Bellingham STATE WA zip 98225 <br /> OWNER PHONE: (360)647-1916 OWNER EMAIL: barb@hollanderinvestments.com <br /> CONTRACTOR NAME: Hollander Investments, Inc. <br /> CONTRACTOR ADDRESS: STREET Same as above <br /> CITY STATE ZIP <br /> CONTRACTOR PHONE: (360)202-1255 CONTRACTOR EMAIL: serj@hollanderinvestments.com <br /> CONTRACTOR LICENSE#(REQUIRED): CITY OF EVERETT BUSINESS LICENSE#(REQUIRED):f V v► A <br /> - <br /> PRIMARY CONTACT: 0 OWNER ❑CONTRACTOR, %OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: (206)341-9875 <br /> David Murphy CONTACT EMAIL: dmurphy@murphyvarey.com <br /> ` BUILDING`PERMIT APPLICATION- <br /> Existing Use of Building: Hotel Contract Price of Work:$ 0 - <br /> Proposed Use of Building: Hotel Heat Source: ❑Gas ❑Electric ❑Other <br /> Building Type: ❑SFR-Detached El SFR-Attached ❑Duplex ❑Multi-Family-#of Units: commercial ❑Industrial <br /> Type of Project: ❑New ❑Addition iffRemodel ❑Repair ❑T.l. ❑Sign ❑Sprinkler ❑Demolition El Change of Use <br /> DESCRIPTION OF WORK: <br /> Tenant Improvement renovation of the ground floor of an existing (7) story hotel <br /> ASSOCIATED BUILDING PERMIT#(if applicable): , <br /> MECHANICAL PERMIT APPLICATI• PLUMBING PERMIT APPLICATION <br /> Type of Project: _New _ Addn Alteration Repair Type of Project: _New Addn Alteratio. _Repair <br /> #o; List of Fixtures #of List of Fixtures #of List of Fixtures #of List of Fixtures <br /> Fi a Fixtures. 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&D'-.osal Grease Trap <br /> Gas Range Ducting Dishwasher Roof Drains <br /> Clothes Dryer ookups Other: Clothes -sher Medical Gas <br /> Range Hoo. Wate 'eater Other: <br /> Exhaust n Si, (Service/Bar/Mop/etc.) Other: <br /> SP,- KLER/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, : -,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 Offici- .- .r-being authorized.nder 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 1 comply i 1-•• to Contract.. Law 18.27 RCW and 296.200A WAC. <br /> City of Everett Official Use Only <br /> P RMI # <br /> 12/11/17 fl ' 2—ol� <br /> Owner/A orized Agent Signature Date (Revised 9/23/2016) <br />