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41877. PERMIT APPLICATION <br /> BUILDING / MECHANICAL/ PLUMBING /SIGN I 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: 1415 75th Street SW PROPERTY TAX#: 28041100101000 <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME: Sabey Corp TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: STREET 1220 Tukwila Internantional Blvd <br /> CITY Seattle STATE WA ZIP 98168 <br /> OWNER PHONE: OWNER EMAIL: <br /> CONTRACTOR NAME: Commercial Industrial Roofing <br /> CONTRACTOR ADDRESS: STREET 3601 121st ST SW p <br /> CI1Y Lynnwood STATE WA ZIP 98087 <br /> 9808/7 <br /> CONTRACTOR PHONE: 425-423-0900 CONTRACTOR EMAIL: Beau@CIR-Roofing.com <br /> CONTRACTOR LICENSE#(REQUIRED): COMMEI*205JJ CITY OF EVERETT BUSINESS LICENSE#(REQUIRED):3 <br /> PRIMARY CONTACT: ❑OWNER 50 CONTRACTOR ❑OTHER(Please Specify) <br /> CONTACT NAME: Beau Fabregas CONTACT PHONE: 425-423-0900 <br /> CONTACT EMAIL: Beau@cir-roofing.com <br /> BUILDING PERMIT APPLICATION 'f <br /> Existing Use of Building: Contract Price of Wd[: $ — `1 <br /> '> 50006�' <br /> Proposed Use of Building: Heat Source: ❑Gas ❑Electric ❑Other <br /> Building Type: ❑SFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units: ®Commercial ❑Industrial <br /> Type of Project: New ❑Addition ❑Remodel El Repair CIT.]. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use <br /> DESCRIPTION OF WORK: Remove existing BUR roof down to substrate install new coverhoard and fully adhered PVC membrane.Replace skylights with new. <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <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 /> 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&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 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 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 /> q/Z( ! PERMIII <br /> / <br /> Owner/Authorized •gen igna ure (!/Date (Revised 9/23/2016) <br /> L <br />