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mom PERMIT APPLICATIO <br /> MI <br /> BUILDINOMECHANICAL / PLUMBING / SIGN PRINKLER/ 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 Road Everett, WA 98201 Z PROPERTY TAX#: 29050800402600 <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME: Donnie Belk-Panattoni Development Company, LLC TENANT BUSINESS NAME(Commercial): Great Little Box <br /> OWNER MAILING ADDRESS: STREET 900 SW 16th Street, Suite 330 <br /> CITY Renton STATE WA zip 98057 <br /> OWNER PHONE: OWNER EMAIL:DBelk@panatonni.com <br /> CONTRACTOR NAME: BU r1 G4250, C071,GirIAIc h ovi 6%) I VIG . <br /> CONTRACTOR ADDRESS: STREET SSZ b Len0)( IQ Vlb I c al <br /> CITY ljuj �,�,////�`�` STATE �'H ZIP 05 C�] <br /> �,�O <br /> CONTRACTOR PHONE: CONTRACTOR EMAIL: <br /> CONTRACTOR LICENSE#(REQUIRED): CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): <br /> PRIMARY CONTACT: ❑OWNER 0 CONTRACTOR 0 OTHER(Please Specify) Architect <br /> CONTACT NAME: CONTACT PHONE:206.408.8531 <br /> Emily Gilbert CONTACT EMAIL:EGilbert@nelsonww.com ___ _ <br /> BUILDING INFORMATION C <br /> Existing Use of Building: S-1 / B Contract Price of Work: $�555:9- �jS� K , <br /> Proposed Use of Building: B Heat Source: ❑Gas ❑Electric ❑Othherr <br /> BUILDING USE: ❑SFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: ❑✓Commercia - ALf ccessory Structure <br /> Type of Project: ❑New ❑Addition ❑Remodel ❑Repair ❑✓T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use <br /> DESCRIPTION OF WORK: Tenant alteration consisting of: new office space within existing wearhouse. These improvements are <br /> the first improvements associated with this portion of shell. Suite contains both B and S occupancies used by a single tenant. <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <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 /> a 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:1 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 1 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 /> PBR, T# <br /> __ Ca i it/20 b 9-ao? -b7 „, <br /> Owner/Auth i ed nt Signature Date (Revised 10/10/2018) if <br /> —I <br />