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+OLT 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 /> (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: Pattison General Contractor <br /> CONTRACTOR ADDRESS: STREET 15235 NE 90th St., Bldg U <br /> cry Redmond STATE WA ZIP 98052 <br /> CONTRACTOR PHONE: 425.497.8222 �f CONTRA TOR EMAIL: andyf@pattisongc.com <br /> CONTRACTOR LICENSE#(REQUIRED ?p� C�C QCt \l -4--C 14- CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 040060 <br /> PRIMARY CONTACT: ❑OWNER ONTRACTOR 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 l-'_ <br /> Existing Use of Building: n/a Contract Price of Work: ).��.- k--- 2 <br /> f <br /> Proposed Use of Building: S-1 and B Heat Source: Gas K❑Electric ❑Other <br /> Building Type: ESFR-Detached ❑SFR-Attached Duplex ❑Multi-Family-#of Units: VCommercial ❑Industrial <br /> Type of Project: ONew EAddition DRemodel DRepair DTI. ❑Sign ESprinkler ❑Demolition ❑Change of Use <br /> DESCRIPTION OF WORK: <br /> Tenant alteration consisting of: addition of mechanical mezzanine <br /> ASSOCIATED BUILDING PERMIT#(if applicable): 1807033; 1808012 <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 Fix •-•s <br /> fixtures Fixtures 7 Fixtures Fixtures <br /> A/C—Air Handling Units Heat PumpToilet Backflow Pr- enter(Inside Bldg) <br /> Forced Air Systems Unit He e Bathtub Uri . <br /> Gas Piping Bo Lavatory(Wash Basin) brinking Fountain <br /> Water Heater efrigeration Shower Floor Drain <br /> Gas Fireplace - Wood Stove Kitchen Sink&Disposal Grease Trap <br /> ..-- <br /> Gas Range `---- Ducting Dishwasher Roof Drains <br /> Clothes Dryer Hoo keps Other: Clothes Washe Medical Gas <br /> Range Hood Water He_ale Other: <br /> Exhaust Fan Sink ( fvice/Bar/Mop/etc.) Other: <br /> 2PAINKLER/ SUPPRESSION SYSTEM <br /> 'Chemical or Water I INo. 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 /> 10/08/2018 PEI#� 0 r C I <br /> Owner/ uthor e Agent Signature Date (Revised 9/23/2016) <br /> Cf.) <br />