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4477- 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 1 www.everettwa.gov/permits <br /> PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS: Building A PROPERTY TAX#: 28040300400300 <br /> 3315 Seaway Blvd., Everett <br /> LEGAL for new construction: Short Plat/subdivision see attached legal Lot No. (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME: Bertch Capital Partners (Greg Bertch) TENANT NAME(If Commercial): TerraPower <br /> OWNER MAILING ADDRESS: STREET 8201 164th Ave. NE, Suite 200 <br /> CITY Redmond STATE Washington ZIP 98052 <br /> OWNER PHONE: (425) 285-4322 OWNER EMAIL: gbertch@bertchcapital.com <br /> CONTRACTOR NAME: T 1 EC"v (ne-A--44_,...6„...L C <br /> CONTRACTOR ADDRESS: STREET <br /> CITY STATE ZIP <br /> CONTRACTOR PHONE: CONTRACTOR EMAIL: <br /> CONTRACTOR LICENSE#(REQUIRED):pP Vk Ce(bG n-� 1 CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): O C <br /> PRIMARY CONTACT: El OWNER ❑ CONTRACTOR ®OTHER(Please Specify) Architect t <br /> CONTACT NAME: Jessica Bradley (Craft Architects) CONTACT PHONE: (206) 720-7001 <br /> 4Ao l'/A PA FTA Pc'f7 c73 ,c tivi CONTACT EMAIL: jessica@craftarchitects.com <br /> BUILDING PERMIT APPLICATION <br /> Existing Use of Building: N/A Contract Price of Work:$ N/A 150/ O 5. 00 <br /> Proposed Use of Building: 8-1 and B Heat Source: I1Gas ❑Electric ❑Other <br /> Building Type: ❑SFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units: ®Commercial ❑Industrial <br /> Type of Project: New ❑Addition ❑Remodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use <br /> DESCRIPTION OF WORK: <br /> Tenant alternation consisting of: addition of (2) new toilet rooms wi'la shower. MectrET,c' 7 a4:eetrlchl, fire— <br /> and sprinkler permits will be permitted under a separate permit. IVs I"�Sc�iz�iYt �� �Ur1 �� <br /> Iii t1 'f�IT , y <br /> ASSOCIATED BUILDING PERMIT#(if applicable): N/A <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type of Project: _New _ 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 /> SPRINKLER/SUPPRESSION SYSTEM <br /> Number 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 authoriz d 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 Cont ct"rs Law 18.27 RCW and 296.200A WAC. <br /> City of Everett Official Use Only <br /> PERMI '/ 1 <br /> I i I 7/20/18 \�0� D�.J3 <br /> Owner/Authorized Agent Signature 1 Date (Revised 10/12/2015) <br />