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PERMIT APPLICATIO <br /> BUILDING / MECHANICAL/ PLUMBING/SIGN MPRINKLER/ DEMOLITION <br /> EVERETT CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET,EVERETT,WA 98201 <br /> WAS HI NGTON . (P)425-257-8810 I FAX 425-257-8857 I(E)everetteps@everettwa.gov l www.everettwa.gov/permits <br /> (Blue or Black ink Only Please) PROJECT:SITE INFORMATION <br /> PROJECT SITE ADDRESS:2615 W CASINO ROAD, EVERETT,WA 98204 PROPERTY TAX#:28041400201600 <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME: SN INVESTMENT PROPERTIES LLC TENANT BUSINESS NAME(Commercial): HARSCH PAINE FIELD <br /> OWNER MAILING ADDRESS: STREET 1121 SW SALMON ST 4t€71- TYc <br /> cny PORTLAND STATE OR ZIP 9720 `� <br /> OWNER PHONE: 503.242.2900 OWNER EMAIL:christinab@harsch.com <br /> CONTRACTOR NAME:Dean Ristow k/ ©+ C \.111/40.Z/U. S SJ(Cv\� ./ <br /> CONTRACTOR ADDRESS: STREET 5300 Denver AVE S v <br /> CITY Seattle STATE WA ZIP 98108 <br /> CONTRACTOR PHONE:206-965-8500 CONTRACTOR EMAIL:dristow@accoes.com <br /> CONTRACTOR LICENSE#(REQUIRED):ACCOESI971 DU CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 37887 <br /> PRIMARY CONTACT: 0 OWNER CI CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE:206-965-0904 <br /> Jacob Nabors CONTACT EMAIL:jnabors@accoes.com <br /> ,:BUILDING:INFORMATION. <br /> Existing Use of Building:Commercial Contract Price of Work:$20,000 <br /> Proposed Use of Building:Commercial Heat Source: ❑Gas DElectric ❑Other <br /> BUILDING USE: ❑SFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: ❑✓Commercial ❑Accessory Structure <br /> Type of Project: ❑New ❑Addition ❑✓Remodel ❑✓Repair ❑T.I. OSign ❑Sprinkler ❑Demolition ❑Change of Use <br /> DESCRIPTION OF WORK: LIKE FOR LIKE REPLACEMENT OF(2) RTU'S. ROOF CURB TO REMAIN. <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 /> 2 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 Ventilation 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: Mldical 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 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 /> � � CjA <br /> PER (0 <br /> Jacob Nabors l .c�-.��. r `` <br /> Owner/Authorized Agent Signature Date (Revised 10/10/2018) t/ <br />