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PERMIT APPLICATIO <br /> BUILDINAECHANICAL/ PLUMBING / SIGN 74SrPRINKLER / 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 www.everettwa.gov/permits <br /> (Blue or Black Ink Only Please) PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS:607 Riverside Road Everett, WA 98201 PROPERTY TAX#:29050800408600 <br /> LEGAL for new construction: Short Plat/subdivision N/A Lot No. (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME: Donnie Belk, Panattoni Development Company, LLC TENANT BUSINESS NAME(Commercial): Infarm <br /> OWNER MAILING ADDRESS: STREET 900 SW 16th Street, Suite 330 <br /> CITY Renton STATE WA ZIP 98057 <br /> OWNER PHONE: ,OWNER EMAIL:DBelk@Panattoni.com <br /> CONTRACTOR NAME:TBD 14 ir115`.) 6 C 01L, aThL <br /> CONTRACTOR ADDRESS: STREET 1572_3 NIL; £ O 11I S T } '*!'-I <br /> CITY 12,. / N ) STATE Vslit <br /> ZIP 4180 <br /> CONTRACTOR PHONE: 2-0IGf,51 ! CONTRACTOR EMAIL: A rty r pnri 1 <br /> CONTRACTOR LICENSE#(REQUIRED): C 2t 4 CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 1.X) <br /> PRIMARY CONTACT: ❑OWNER yCONTRACTOR ❑OTHER(Please Specify) Architect <br /> CONTACT NAME: CONTACT PHONE:206.408.8634 <br /> Jessica Bradley CONTACT EMAIL:JessicaBradley@nelsonww.com <br /> BUILDING INFORMATION <br /> Existing Use of Building:S-1 /B Contract Price of Work: $ 5Or 000 • "—" <br /> Proposed Use of Building:B Heat Source: ❑Gas i77 Electric ❑Other <br /> BUILDING USE: ❑SFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: (]Commercial ❑Accessory Structure <br /> Type of Project: New Addition ❑Remodel ❑Repair ❑✓T.l. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use <br /> DESCRIPTION OF WORK: Construct new demising wall within an existing warehouse building. No change of use. Suite tenant <br /> improvements to be under future separate permits. <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 /> 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 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 with the State Contractors Law 18.27 RCW and 296.200A WAC. <br /> City of Everett Official Use Only <br /> f)401' <br /> 0 , e • t orized Age Signature Date (Revised 10/10/2018) <br />