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PERMIT APPLICATIIII <br /> 1111.1111 BUILDI1110I MECHANICAL/ PLUMBING/SIG 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 Road Suite 110 PROPERTY TAX#:29050800402600 <br /> LEGAL for new construction: Short Plat/subdivision Attached Lot No. (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME: Infarm Indoor Urban Farming TENANT BUSINESS NAME(commercial): Infarm Indoor Urban Farming <br /> OWNER MAILING ADDRESS: smEET8 the Green#7929 <br /> cnv Dover sum DE ZIP 19901 <br /> OWNER PHONE: 48-152-562-81670(Germany) OWNER EMAIL:adam.watkins@infarm.com <br /> CONTRACTOR NAME:TBD <br /> CONTRACTOR ADDRESS: STREET <br /> CITY STATE ZIP <br /> CONTRACTOR PHONE: CONTRACTOR EMAIL: <br /> CONTRACTOR LICENSE#(REQUIRED): CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): <br /> PRIMARY CONTACT: ❑OWNER 0 CONTRACTOR El OTHER(Please Specify) Architects <br /> CONTACT NAME: CONTACT PHONE:206-294-7545 <br /> Kip Kolodziejski, Salas O'Brien CONTACT EMAIL:kip.kolodziejski@salasobrien.com <br /> BUILDING INFORMATION <br /> Existing Use of Building:Warehouse S1 Contract Price of Work:$650,000 <br /> Proposed Use of Building:Vegetable plant production F1 Heat Source: ❑Gas ❑Electric ❑Other defer Pef"`I <br /> BUILDING USE: ❑SFR ❑Townhouse ❑Duplex ❑ADU ElMulti-Family-#Units: ❑✓Commercial DAccessory Structure <br /> Type of Project: ❑New ❑Addition DRemodel DRepair DTA. DSign ❑Sprinkler ❑Demolition ❑✓Change of Use <br /> DESCRIPTION OF WORK: Initial tenant improvement that provides new production hall for growing of vegetables, etc. <br /> New walls, doors, ceilings, insulation, and connection of equipment. MEP and FS permits deferred. <br /> Use change consistent with allowed zoning. Existing parking has capacity. <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 /> 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 I 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.lam the owner,or lam 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 /> Yf PER!)AI�T moJQ^ � <br /> 416-20 F/�/[� 'L <br /> Owner/Authorized Agent Signature Date (Revised 10/10/2018) <br />