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INN <br /> • PERMIT APPLICATION• <br /> BUILDING / MECHANICAL/ PLUMBING /SIGN /SPRINKLER/ DEMOLITION <br /> EVERETT CITY 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 mack:Ink Only Please) ' PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS:1502 SE EVERETT MALL WAY PROPERTY TAX#:28051800401100 <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME: 3773 INVESTMENTS, LLC TENANT BUSINESS NAME(Commercial): TBD <br /> OWNER MAILING ADDRESS: sTREET433 NORTH CAMDEN DR., SUITE 800 <br /> cry BEVERLY HILLS STATE CA ZIP 90210 <br /> OWNER PHONE: (310)278-5333 OWNER EMAIL:JENNIFER @SBMGMT.COM <br /> CONTRACTOR NAME:To Be Determined <br /> CONTRACTOR ADDRESS: STREET <br /> CITY STATE ZIP <br /> CONTRACTOR PHONE: CONTRACTOR EMAIL: <br /> CONTRACTOR LICENSE#(REQUIRED): CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): <br /> PRIMARY CONTACT: ❑OWNER 0 CONTRACTOR 0 OTHER(Please Specify) ARCHITECT <br /> CONTACT NAME: CONTACT PHONE:(425)636-8006 <br /> ERIC KOCH CONTACT EMAIL:ERIC@PADGI.COM <br /> BUILDING INFORMATION <br /> Existing Use of Building:VACANT Contract Price of Work:$. 00 )O b I <br /> Proposed Use of Building:MERCANTILE-No Change Heat Source: OGas ❑Electric ❑Other <br /> BUILDING USE: ❑SFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: ❑✓Commercial ❑Accessory Structure <br /> Type of Project: ❑New ❑Addition ❑Remodel ❑✓Repair ❑T.I. ESign ❑Sprinkler ©Demolition ❑Change of Use <br /> DESCRIPTION OF WORK: INTERIOR DEMOLITION OF THE MEZZANINE FLOOR JOISTS, STEEL BEAMS, SUPPORTING <br /> COLUMNS, LIGHT FIXTURES, DUCTS, CEILING TILES&GRID SYSTEM. PARTIAL DEMO OF SPRINKLER SYSTEM <br /> BELOW MEZZ. REROUTE OF WATER SERVICE, REPAIR&SEALING OF FLOOR SLAB. <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 Count List of Fixtures Count List of Fixtures <br /> A/C—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 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 I 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 <br /> of Everett Official Use Onlyly, <br /> � <br /> / (ZO 1� PERMIT' 1 D [� <br /> Owner/Authorized Agent Signature Date (Revised 10/10/2018) <br /> 1/2 <br />