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MIMI <br /> PERMIT APPLICATION <br /> BUILDING/MECHANICAL/PLUMBING/SIGN/SPRINKLER/DEMOLITION <br /> E V E R E T TCITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET,EVERETT,WA 98201 <br /> WASHINGTON (P)425-257-8810 I 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:1724 W. Marine View Dr. PROPERTY TAX#:29051800301303 <br /> LEGAL for new construction: Short PlaUsubdivision Lot No. (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME: Port of Everett TENANT BUSINESS NAME(Commercial): NW Retina <br /> OWNER MAILING ADDRESS: STREET PO Box 538 <br /> cnv Everett STATE WA zip 98206 <br /> OWNER PHONE: (425) 388-0661 OWNER EMAIL:DaleG@portofeverett.com <br /> CONTRACTOR NAME:Garland Company, Inc. <br /> CONTRACTOR ADDRESS: STREET 3800 E. 91st Street <br /> C1iy Cleaveland STATE OH Zip 44105 <br /> CONTRACTOR PHONE:(206)681-8151 CONTRACTOR EMAIL:mshaxton@garlandind.com <br /> CONTRACTOR LICENSE#(REQUIRED): C.C.4 A/¢,CA r. ..iii 703 irr el CITY OF EVERETT BUSINESS+,nLICENSE#(REQUI-, D): 4a� it ' <br /> PRIMARY CONTACT: ❑OWNER El CONTRACTOR ❑OTHER(Please Specify) - 19 i ►_ <br /> CONTACT NAME: CONTACT PHONE:(425)388-0661 *cell (425)330-7538 <br /> Dale Gribble, Property Manager CONTACT EMAIL:DaleG@portofeverett.co�—Th <br /> BUILDING INFORMATION �1 <br /> ExistingUse of Building:mixed offices&Medical - ;' e.e �- ' <br /> Contract Price of Wor • ------ -:-��-�,$1 1,000 shingle <br /> Proposed Use of Building: Heat Source: EGa• DElectric ❑Othe • <br /> BUILDING USE: ❑SFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: OCommercial ❑Accesso • ure <br /> Type of Project: [New ❑Addition ❑Remodel ❑✓Repair ❑T.I. ❑Sign ❑Sprinkler a.- .... m ange of Use <br /> DESCRIPTION OF WORK: Fluid-applied roof coatings on low slop roof w/one 3'x3'repair. (100'x 66') <br /> Remove and replace asphalt shingles on front covered walkway. (100'x 10') <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Fixture Fixture Fixture Fixture <br /> Count List of Fixtures Count List of Fixtures List of Fixtures List of Fixtures <br /> Count Count <br /> NC-Air Handling Units Gas Piping Backflow Preventer(Inside Bldg) Shower,Tub,or Combo <br /> Boiler Gas Range Clothes Washer Sink-Commercial(3-comp,prep,floor) <br /> Clothes Dryer Heat Pump&Ductless Dishwasher Sink-Residential(kitchen,bath,bar) <br /> Duct System(Remodel) Refrigeration Drinking Fountain Sink-Utility,laundry,mop <br /> Exhaust Fans(Residential) Commercial Ventilation Floor Drain Toilet <br /> Exhaust Hood(Type I) (Not Heat/AC system) Hose Bibb Urinal <br /> Exhaust Hood(Type II) Water Heater Interceptor-Grease Waste/Water Piping Repair <br /> Exhaust Hood(Residential) Wood Stove Interceptor-Sand/Oil Water Service(behind meter) <br /> Forced Air Systems Other. Medical Gas Water Valves or Fixtures <br /> Gas Fireplace/Insert/Log Roof Drains Water Heater <br /> SPRINKLER/SUPPRESSION SYSTEM Sewage Ejector or Sump Pump Other: <br /> Water Suppression System No.of Heads <br /> Chemical Suppression System 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/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 /> ...A-�L L/a 1/2y/� 4OL — c.q <br /> Owner/Authorized Agent Signature Date (Revised 10/10/2018 <br /> I <br />