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0477 PERMIT APPLICATIOM <br /> BUILDINONECHANICAL / PLUMBING / SIGNWPRINKLER / 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: 6000 - 23rd Drive West, Everett, WA 98206 PROPERTY TAX#: <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME: Nicholson Machine & Technology Comp Corp TENANT NAME(If Commercial): Teague <br /> OWNER MAILING ADDRESS: STREET 6000 - 23rd Drive West <br /> CITY Everett STATE WA ZIP 98206 <br /> OWNER PHONE: OWNER EMAIL: <br /> CONTRACTOR NAME BNBuilders <br /> CONTRACTOR ADDRESS: STREET 2601 Fourth Avenue, Suite 350 <br /> cn-y Seattle STATE WA ZIP 98121 <br /> CONTRACTOR PHONE: 206-382-3443 CONTRACTOR EMAIL: lustin.robertson@bnbuilders.com <br /> CONTRACTOR LICENSE#(REQUIRED): CC BNBU I I*990K3 CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 43638 <br /> PRIMARY CONTACT: ❑ OWNER El CONTRACTOR ❑ OTHER(Please Specify) <br /> CONTACT NAME: Justin Robertson CONTACT PHONE: 206-71 4-0461 <br /> CONTACT EMAIL: justin.robertson@bnbuilders.com <br /> BUILDING PERMIT APPLICATION <br /> Existing Use of Building: Commercial Contract Price of Work: $ $1 ,775,000 <br /> Proposed Use of Building: Commercial Heat Source: ❑Gas DElectric DOther <br /> Building Type: DSFR-Detached DSFR-Attached ❑Duplex DMulti-Family-#of Units: gjCommercial ❑Industrial <br /> Type of Project: DNew DAddition ORemodel DRepair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition DChange of Use <br /> DESCRIPTION OF WORK: <br /> Convert existing space into gallery space, conference rooms, food <br /> staging area and upgrade of restrooms <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type of Project: New Addn Alteration Repair Type of Project: New Addn _Alteration Repair <br /> #of List of Fixtures #of List of Fixtures #of List of Fixtures #of List of Fixtures <br /> Fixtures Fixtures Fixtures Fixtures <br /> A/C—Air Handling Units Heat Pump Toilet Backflow Preventer(Inside Bldg) <br /> Forced Air Systems Unit Heater Bathtub Urinal <br /> Gas Piping Boiler Lavatory(Wash Basin) Drinking Fountain <br /> _Water Heater Refrigeration Shower Floor Drain <br /> Gas Fireplace Wood Stove Kitchen Sink& Disposal Grease Trap <br /> Gas Range Ducting Dishwasher Roof Drains <br /> _Clothes Dryer Hookups Other: Clothes Washer Medical Gas <br /> Range Hood Water Heater Other: <br /> Exhaust Fan Sink (Service/Bar/Mop/etc.) Other: <br /> SPRINKLER/ SUPPRESSION SYSTEM <br /> Chemical or Water 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 b 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 /> iCity of Everett Official Use Only <br /> PERMIT# <br /> / <br /> Owner/Authorized Agent Signature Date (Revised 9/23/2016) <br />