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44-n- PERMIT APPLICATIO• <br /> BUILDING / MECHANICAL / PLUMBING / SIGN / bPRINKLER/ 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 Dr W PROPERTY TAX#:28040200301800 <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: STREET200 South Orcas Street /� <br /> CITY Seattle STATE V V�p�A zip 98108 <br /> OWNER PHONE: OWNER EMAIL: <br /> CONTRACTOR NAME: Patriot Fire Protection, Inc. <br /> CONTRACTOR ADDRESS: STREET 77117 71)th AVP F <br /> CITY Tacoma STATE WA ZIP 98424 <br /> CONTRACTOR PHONE: 253-926-2290 CONTRACTOR EMAIL: <br /> CONTRACTOR LICENSE#(REQUIRED): PATRIFPO9PCF CITY OF EVERETT BUSINESS LICENSE#(REQUIR ): 024694 ) <br /> PRIMARY CONTACT: ❑ OWNER NI CONTRACTOR ❑ OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE:253 926 2290 <br /> Davin Christenson CONTACT EMAIL:davin.christenson©.a - om <br /> BUILDING PERMIT APPLICATIO <br /> Existing Use of Building: Contract Price o ork: $ <br /> Proposed Use of Building: Heat Source: as ❑Electric ❑OtO�_� <br /> Builling Type: ❑SFR-Detached ❑SFR-Attached 0 Duplex ❑Multi-Family-#of Units: ❑Commercial ❑Industrial <br /> Type of Project: DNew 0Addition ❑Remodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use <br /> DESCRIPTION OF WORK: <br /> Modify existing fire sprinkler system for tenant improvement changes to existing airplane mock up. <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type of Project: New ll Addn 0✓ Alteration CIRepair Type of Project: QNew ElAddn QAlteration ORepair <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 /> IN ER/ SUPPRESSION SYSTEM <br /> Number of Heads <br /> ACKN WLEDGE ENT: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 /> curren federal, ate,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 al 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 /> PER IT <br /> Davin Christenson 11/7/17 <br /> Owner/Authorized Agent Signature Date (Revised 5/20/ 016) <br />