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OIETT • PERMIT APPLICATION• <br /> BUILDING I MECHANICAL/ PLUMBING / SIGN I 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 I(E)everetteps@everettwa.gov I www.everettwa.gov/permits <br /> (Blue or Black Ink Only Plaaso) PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS: 3214 Broadway, Everett WA 98201 PROPERTY TAX#: <br /> LEGAL for new construction. Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME: Broadway& 32nd Street Apts Assoc. LLC TENANT BUSINESS NAME(Commercial): <br /> OWNER MAILING ADDRESS: s-REET110-110th Avenue NE, Suite 550 <br /> c,TV Bellevue STATE WA ZIP 98004 <br /> OWNER PHONE: 425-709-7242 OWNER EMAIL:dsinnett@acg.com <br /> CONTRACTOR NAME:Best Plumbing Group <br /> CONTRACTOR ADDRESS: s7REET4129 Stone Way North <br /> crry Seattle STATE WA ZIP 98103 <br /> CONTRACTOR PHONE:206-633-1700 CONTRACTOR EMAIL:cindy.s@bestplumbing.com <br /> CONTRACTOR LICENSE#(REQUIRED):BESTPGL973CD CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 59949 <br /> PRIMARY CONTACT: ❑OWNER 0 CONTRACTOR ❑OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE:206-633-1700 <br /> Cindy Stevenson CONTACT EMAIL:cindy.s@bestplumbing.com <br /> BUILDING INFORMATION <br /> Existing Use of Building: Contract Price of Work:$1,800,000.00 <br /> Proposed Use of Building:Multi-Family Heat Source: ❑Gas ❑Electric ❑Other _ <br /> BUILDING USE: ❑SFR ❑Townhouse ❑Duplex ❑ADU ❑✓Multi-Family-#Units: ❑Commercial ❑Accessory Structure <br /> Type of Project: IlNew ❑Addition ❑Remodel ❑Repair DTI. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use <br /> DESCRIPTION OF WORK: Rough-in and Trim Plumbing for new apartment building <br /> Vi'‘ \ 0 --OL-k <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 /> A/C—Air Handling Units Gas Piping X Backflow Preventer(Inside Bldg) Shower,Tub,or Combo <br /> Boiler Gas Range Id 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 2ga" Toilet <br /> Exhaust Hood(Type I) (Not Heat/AC system) ,4 Hose Bibb Urinal <br /> RV <br /> Exhaust Hood(Type II) Water Heater Interceptor-Grease Waste/Water Piping Repair <br /> Exhaust Hood(Residential) Wood Stove 2 Interceptor-Sand/Oil Water Service(behind meter) <br /> Forced Air Systems Other: Medical Gas Water Valves or Fixtures <br /> Gas Fireplace/Insert/Log i.• Roof Drains Water Heater <br /> SPRINKLER/SUPPRESSION SYSTEM 2 Sewage Ejector or Sump Pump Other: <br /> Water Suppression System No of Heads 27 Dnr.<'Pa!o D•a rs <br /> Chemical Suppression System No.of Heads <br /> ACKNOWLEDGEMENT:(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 /> 217 <br /> Cindy Stevenson PEI � —(9t 3 <br /> Oa,'20s0307•csesz=ax March 7,2019 <br /> Owner/Authorized Agent Signature Date (Revised 10/10/2018) <br />