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• PERMIT APPLICATION* <br />BUILDING / MECHANICAL / PLUMBING / SIGN / SPRINKLER / DEMOLITION <br />EVERETT 32CITY OF EVERETT PERMIT SERVICES <br />00 CEDAR STREET, EVERETT, WA 98201 <br />WASHINGTON (P) 425-257-8810 1 FAX 425-257-8857 1 (E) everetteps@everettwa.gov I www.everettwa.gov/permits <br />(Blue or Black Ink Only Please) PROJECT SITE INFORMATION <br />PROJECT SITE ADDRESS: 7807 Evergreen Way, Everett, WA 98203 <br />PROPERTY TAX #: 0211268 <br />LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br />CONTACT INFORMATION <br />OWNER NAME: Laundry Genius, Inc TENANT BUSINESS NAME (Commercial): Laundry Genius <br />OWNER MAILING ADDRESS: STREET 16040 NE Woodinville Duval Rd <br />CITY Woodinville STATE WA 1,98072 <br />OWNER PHONE: 425-877-6665 IOWNEIR <br />EMAIL: b@rlSeland.com <br />CONTRACTOR NAME: CeSCo NW Acquisition LLC <br />CONTRACTOR ADDRESS: ST1EET20830 International Blvd <br />CITY Seatac STATE WA ZIP 98198 <br />CONTRACTOR PHONE: 253-353-0186 <br />1CONTRACTOR EMAIL: rich@ceSCoequipmerlt.Com <br />CONTRACTOR LICENSE #(REQUIRED): CESCONA81 9K1 <br />ICITY OF EVERETT BUSINESS LICENSE #(REQUIRED): 62840 <br />PRIMARY CONTACT: ❑ OWNER I] CONTRACTOR ❑ OTHER (Please Specify) <br />CONTACT NAME: <br />Rich Boyd <br />CONTACT PHONE: 253-353-01 86 <br />CONTACT EMAIL: rich@ceSCoequipmerlt.com <br />BUILDING INFORMATION <br />Existing Use of Building: Vacated Payless Shoe Store <br />Contract Price of Work: $ 3 D00.00 <br />Proposed Use of Building: Self Service Laundromat <br />Heat Source: I]Gas _0EIectrfC ❑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: Tenant improvement to change use from vacated retail shoe store to self service laundromat <br />Pc = z5 �- <br />ASSOCIATED BUILDING PERMIT # (if applicable): <br />MECHANICAL <br />PERMIT <br />APPLICATION <br />PLUMBING PERMIT <br />APPLICATION <br />Fixture <br />Count <br />List of Fixtures <br />Fixture <br />count <br />List of Fixtures <br />Fixture <br />Count <br />List of Fixtures <br />Fixture <br />Count <br />List of Fixtures <br />A/C - Air Handling Units <br />19 <br />Gas Piping <br />Backflow Preventer (Inside Bldg) <br />Shower, Tub -or Combo <br />Boiler <br />Gas Range <br />77then Washer <br />Sink -Commercial (3-comp,prep,floor) <br />Ctothes Dryer <br />Heat Pump&Ductless <br />Disliwasher <br />2 <br />Sink-Kesidential (kitchen, bath, bar) <br />4 <br />Duct`System (Remodel) <br />Refrigeration <br />Drinking Fountain <br />2 <br />Sink -Utility, laundry, mop <br />Exhaust Fans (Residential) <br />Commercial Ventilation <br />(Not Heat/AC system) <br />3 <br />Floor Drain <br />2 <br />Toilet <br />Exhaust Hood (Type 1) <br />Hose Bibb <br />Urinal <br />Exhaust Hood (Type>il) <br />Water Heater <br />Interceptor -Grease <br />Waste/Water Piping Repair <br />Exhaust Hood (Residential) <br />Wood Stove <br />Interceptor-Sand/Oil <br />Water Service (behind meter) <br />Forced Air Systems <br />Other: <br />Medical Gas <br />I Water Valves or Fixtures <br />Gas Fireplace/Insert/Log <br />Roof Drains <br />2 <br />Water Heater <br />SPRINKLER / SUPPRESSION <br />-SYSTEM <br />Sewage Ejector'or Sump Pump <br />3 <br />Other: Trough Drains <br />Water Suppression System <br />No. of Heads <br />Chemical uppression System <br />No. of Heads <br />_ <br />ACI,WOWLEDGEMENT. 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. 1 am the owner, or / 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 />IT� f 12/22/2020 PL O —CDs I <br />Owner/Auth6rized Agent Signature Date (Revised 1011012018) j / <br />Z <br />