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A PERMIT APPLICATION <br />\ ,v/ BUILDIN ECHANICAL/ PLUMBING /SIGN /IlkINKLER/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 Please) PROJECT,SITE INFORMATION <br /> PROJECT SITE ADDRESS:3214 Broadway Ave PROPERTY TAX#:004390-763-023-00 <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME: Broadway&32nd St Apartment Associates,LLC TENANT BUSINESS NAME(Commercial): <br /> OWNER MAILING ADDRESS: STREET 110-110th Ave NE Suite 550 <br /> cm, Bellevue STATE WA Zip 98004 <br /> OWNER PHONE: 425-709-7242 OWNER EMAIL:dsinnett@acg.com <br /> CONTRACTOR NAME:Patriot Fire Protection, Inc. <br /> CONTRACTOR ADDRESS: STREET 2707 70th Ave E <br /> CITY Tacoma STALE WA ZIP 98424 <br /> CONTRACTOR PHONE:253-284-3451 CONTRACTOR EMAIL:kyle.wilkinson@patriotfire.com <br /> CONTRACTOR LICENSE#(REQUIRED):PATRIFP0099CF CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 024694 <br /> PRIMARY CONTACT: ❑OWNER El CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE:253-284-3451 <br /> Kyle CONTACT EMAIL:kyle.wilkinson@patriotfire.com <br /> BUILDING INFORMATION <br /> Existing Use of Building: Contract Price of Work:$420,000 <br /> Proposed Use of Building:Multi-Family Heat Source: ❑Gas DElectric ❑Other <br /> BUILDING USE: ❑SFR ❑Townhouse ['Duplex DADU DMulti-Family-#Units:1d0 ['Commercial ❑Accessory Structure <br /> Type of Project: I]New ❑Addition ['Remodel DRepair ❑T.i. ❑Sign ['Sprinkler ❑Demolition ❑Change of Use <br /> DESCRIPTION OF WORK: Install new dry fire sprinkler for all parking levels. Install new wet fire sprinkler system for all residential <br /> levels. V FF�� <br /> ASSOCIATED BUILDING PERMIT#(if applicable):111 '°Li <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Fixture Fixture Fixture Fixture <br /> Count List of Fixtures Count List of Fixtures Count List of Fixtures Count List of Fixtures <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 Pdmp&Ductless Dishwasher Sink-Residential(kitchen,bath,bar) <br /> Duct System(Remodel) Refrigeration Drinking Fountain Sink-Utility,laundry,mop <br /> Exhaust Fans(Residential) Commercial Ventilatior 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 2381 No.of Heads <br /> Chemical Suppression System 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 /> PERMIT l n ILk <br /> 3/14/2019 �/J, <br /> ner !zed gent Signature Date (Revised 10/10/2018) <br />