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PERMIT APPLICATION <br /> 1116111 <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 Black Ink Only Please) PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS:607 Riverside Rd#130, Everett, WA 98201 PROPERTY TAX#: <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME: Port of Everett TENANT BUSINESS NAME(Commercial): Canteen Vending <br /> OWNER MAILING ADDRESS: STREET PO Box 538 <br /> CITY Everett STATE WA ZAP 98206 <br /> OWNER PHONE: (425) 388-0661 OWNER EMAIL:Robert.Borders@compass-usa.com <br /> CONTRACTOR NAME:North West Handling Systems <br /> CONTRACTOR ADDRESS: STREET 1100 SW 7th St <br /> cln. Renton STATE WA zip 98057 <br /> CONTRACTOR PHONE:425-919-3597 CONTRACTOR EMAIL:neilm@nwhs.cdm <br /> CONTRACTOR LICENSE#(REQUIRED):NORTHWH275JF CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 011598 <br /> PRIMARY CONTACT: 0 OWNER 0 CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE:425-919-3597 <br /> Neil Montague CONTACT EMAIL:neilm@nwhs.com <br /> BUILDING INFORMATION <br /> Existing Use of Building:Warehouse Contract Price of Work:$82,663.00 <br /> Proposed Use of Building:Warehouse Heat Source: OGas CIElectric ❑Other <br /> BUILDING USE: ❑SFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: ©Commercial ❑Accessory Structure <br /> Type of Project: ❑New ❑Addition ❑Remodel ❑Repair ❑✓T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use , • <br /> DESCRIPTION OF WORK: Install (163)bays of pallet racking. • <br /> ASSOCIATED BUILDING PERMIT#(if applicable): TA ' q n l 'D 061 , <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Fixture Fixture Fixture Fixture <br /> Count List of Fixtures CountList 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 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 I 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 /> an ly with the State Contractors Law 18.27 RCW and 296.200A WAC. <br /> City of Everett Official Use Only <br /> Ii <br /> /1 PERMIT 1 i e _ OH <br /> Owner/Authorized Agent Signature Date /�J (Revised 10/10/2018) <br /> 1g))---- <br />