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4-77- 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 1 FAX 425-257-8857 I(E)everetteps@everettwa.gov I www.everettwa.gov/permits <br /> (Blue or Black Ink Only Please) PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS: Building A, 3315 Seaway Blvd., Everett PROPERTY TAX#: 28040300400300 <br /> LEGAL for new construction: Short Plat/subdivision See attached legal on sheet T1.1 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: TBD <br /> CONTRACTOR ADDRESS: STREET <br /> CITY STATE ZIP <br /> CONTRACTOR PHONE: CONTRACTOR EMAIL: l� <br /> CONTRACTOR LICENSE#(REQUIRED): CITY OF EVERETT BUSINESS LICENSE#(REQ RED): l00 6 0 / <br /> PRIMARY CONTACT: D OWNER 0 CONTRACTOR V OTHER(Please Specify) Architect <br /> CONTACT NAME: CONTACT PHONE: (206) 720-7001 <br /> Nadia Azarova CONTACT EMAIL: nadia@craftarchitects.com <br /> BUILDING PERMIT APPLICATION <br /> Existing Use of Building: n/a Contract Price of Work: $ n/a <br /> Proposed Use of Building: S-1 and B Heat Source: ZGas ❑Electric ❑Other <br /> Building Type: ❑SFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units: 7Commercial ❑Industrial <br /> Type of Project: {ZINew ❑Addition ❑Remodel ❑Repair ET.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use <br /> DESCRIPTION OF WORK: <br /> Tenant alteration consisting of:addition of office space with mezzanine and laboratory spaces within warehouse area.Mechanical,electrical,plumbing,fire protection,and sprinkler permits will be applied for under a separate permit submittal <br /> ASSOCIATED BUILDING PERMIT#(if applicable): 1807033 <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 /> Chemical or Water I lNo. 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 Contractors Law 18.27 RCW and 296.200A WAC. <br /> City of Everett Official Use Only <br /> PERMIT <br /> ; ';10" 08/08/2018 [3O g —0( 2— <br /> . <br /> 2— <br /> Owner/Autho 'r e•Agent Signature Date (Revised 9/23/2016) <br />