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• • I <br /> PERMIT APPLICATION • <br /> BUILDING/MECHANICAL!PLUMBING!SIGN!SPRINKLER/DEMOLITION <br /> %ma _ CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET,EVERETT,WA 98201 <br /> (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 /> 0043907630(3100)3000,2700, <br /> PROJECT SITE ADDRESS: 3214 Broadway PROPERTY TAX#: 2500 2300.2200 <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> . . . CONTACT INFORMATION • <br /> OWNER NAME: North Puget Sound Partners LLC and Cohoe Point LLC TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: stnsaI 110 110th Ave NE#550 <br /> crn Bellevue STATE WA zip 98004 <br /> OWNER PHONE: 206 255 7580 OWNER EMAIL: dsinnett@acg.com <br /> CONTRACTOR NAME: American Home Builders <br /> CONTRACTOR ADDRESS: s REET 110 110th Ave NE#550 . <br /> cnv Bellevue STATE WA ZIP 98004 <br /> CONTRACTOR PHONE: CONTRACTOR EMAIL: ter <br /> CONTRACTOR LICENSE#(REQUIRED): CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 3531P <br /> PRIMARY CONTACT: El OWNER ❑CONTRACTOR ❑OTHER(Please Specify) <br /> CONTACT NAME: Dave Sinnett CONTACT PHONE: 206 255 7580 <br /> CONTACT EMAIL: dsinnett@acg.com <br /> • <br /> BUILDING PERMIT APPLICATION .Existing Use of Building: Contract Price of Work:$ Z_t -1 3 Z.- t o l _) _ <br /> Proposed Use of Building: Heat Source: OGas ❑Electric ❑other j <br /> Building Type: ❑SFR-Detached ❑SFR-Attached ❑Duplex t1Multl-Family-#of Units: 140 ❑Commercial ❑Industrial <br /> Type of Project: Now ❑Addition ❑Remodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler ODemolition ❑Change of Use <br /> DESCRIPTION OF WORK: t9 (Type V) parking(type I) <br /> r New construction of 140 unit building. It is 5 residential floors T e over 3 floor of t e <br /> ASSOCIATED BUILDING PERMIT#(if applicable): — <br /> MECHANICAL PERMIT APPLICATI• ' PLUMBING PERMIT APPLIC ON • <br /> Type of Project: New Addn _Alteration Repair Type of Project: _New Addn A ration _Repair <br /> #of #of #of #of <br /> List of Fixtures List of Fixtures Fixtures List of Fixtures Fixtur List of Fixtures <br /> Fixtures Ffxtur• <br /> NC—Air Handling Units Heat Pump Toilet Backflow Preventer(Inside Bldg) <br /> Forced Air Systems Unit Heater Bathtub Urinal <br /> Gas Piping _Boller Lavatory(Wash Basin) Drinking Fountain _ <br /> Water Heater Refrigeration Shower Floor Drain <br /> Gas Fireplace Wood Stove Kitchen Sink&D' osal Grease Trap <br /> Gas Range Ducting Dishwasher Roof Drains <br /> Clothes D Hookups Other: Clothes W her Medical Gas <br /> Range H••d Water ater Other: <br /> Exhau Fan Sin ervice/Bar/Mop/etc.) Other: <br /> S -INKLER/SUPPRESSION SYSTEM <br /> • <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 wilting from the <br /> Building Official before being authorized under any circumstance.lam 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 ROW and 288.200A WAC. • <br /> 21141- <br /> City of Everett Officiall Use Only. // i ..2,3//7 PERMM0(-7iD D4 ( iOwner//AAutthhorized Agiggnnatureree Date (Revised 9/23/2016) <br />