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*Tr • PERMIT APPLICATIO, <br /> BUILDING / MECHANICAL/ PLUMBING /SIGN / SPRINKLER/ 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:607 Riverside Road Ste# 150 PROPERTY TAX#: <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME: Panattoni Development TENANT BUSINESS NAME(Commercial): Amazon Fulfilment <br /> OWNER MAILING ADDRESS: STREET20411 SW Birch St. Ste#200 <br /> CITY Newport Beach STATE CA ZIP 92660 <br /> OWNER PHONE: (949)474-7830 OWNER EMAIL: <br /> CONTRACTOR NAME:Sig Sys Corp. <br /> CONTRACTOR ADDRESS: STREET 18952 MacArthur Blvd. <br /> CITY Irvine STATE CA ZIP 92612 <br /> CONTRACTOR PHONE:(714) 309-5596 CONTRACTOR EMAIL:epoe@sigsyscorp.com <br /> CONTRACTOR LICENSE#(REQUIRED):SIGSYSI838MM CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): <br /> PRIMARY CONTACT: ❑OWNER ❑CONTRACTOR ❑OTHER(Please Specify) Authorized Agent <br /> G <br /> CONTACT NAME: CONTACT PHONE:(323)309 1180 r <br /> s ...Q...., <br /> Ana Rodriguez CONTACT EMAIL:ajimenez@hannibalindustries.com` <br /> BUILDING INFORMATION <br /> Existing Use of Building: Contract Price of Work:$64,640 <br /> Proposed Use of Building: 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. Sign Sprinkler ❑Demolition ❑Change of Use <br /> DESCRIPTION OF WORK: Installing pallet rack storage. <br /> ASSOCIATED BUILDING PERMIT#(if applicable): lri vILA ' O l <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 /> 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 Ventilatior 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 I INo.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 ith the State Contractors Law 18.27 RCW and 296.200A WAC. <br /> City of Everett Official Use Only <br /> PERMIT# <br /> ?)1of o - 0:39) <br /> Owner/Authorized Agent Si atu Date (Revised 10/10/2018) <br />