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• PERMIT APPLICATION <br /> • <br /> BUILDING / MECHANICAL / PLUMBING / SIGN / SPRINKLER <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 Black Ink Only Please) PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS:6617 Associated Blvd, Building B,Suite 100, Everett WA,98203 PROPERTY TAX#: <br /> LEGAL for new construction: Short Plat/subdivision n/a Lot No.n/a (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME: LBA/PPF Industrial-Associated/West Valley, LLC TENANT BUSINESS NAME(Commercial): Amazon <br /> OWNER MAILING ADDRESS: STREET 1106 Shuksan Way <br /> CITY Everett STATE WA zip 98203 <br /> OWNER PHONE: 206-812-6242 OWNER EMAIL:RBeckley U©Ibarealty.com <br /> CONTRACTOR NAME:Sierra Construction Company - Andy Bley <br /> CONTRACTOR ADDRESS: STREET 14800 NE North Woodinville Way <br /> cliff Woodinville STATE WA ZIP 98072 <br /> CONTRACTOR PHONE:425-487-5200 CONTRACTOR EMAIL:AndyB©sierraind.com <br /> CONTRACTOR LICENSE#(REQUIRED):CC SIERRCC145N8 CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 23366 <br /> PRIMARY CONTACT: ❑OWNER ❑ CONTRACTOR 0 OTHER(Please Specify) MG2 Corporation (architects) <br /> CONTACT NAME: CONTACT PHONE:206-499-9537 <br /> Angela Balmer CONTACT EMAIL:angela.balmer@mg2.com <br /> BUILDING INFORMATION <br /> Existing Use of Building:S-1 with accessory office area of B-1 and A-3 Contract Price of Work:$175,000 <br /> Proposed Use of Building:S-i,S-2(indoor parking),with accessory office B-1 and A-3 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 ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use <br /> DESCRIPTION OF WORK: Removal of interior existing office core and associated mechanical, plumbing, hvac, and lighting. <br /> Removal of warehouse lighting, existing heating systems, HVLA fans, and existing windows and doors. <br /> Allyte S Ar <br /> ASSOCIATED BUILDING PERMIT#(if applicable): Building TI hermit <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 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: 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 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.1 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 /> PER <br /> 7t <br /> Kelli Bays oigaanvaignedby Kell Bays �c <br /> nature Date <br /> Owner/Authorized AgentSi d1e 2020�2913a329 BJ� /20 <br /> g (Revised 10/10/2018) <br /> �1 <br /> r 0 <br />