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MN 0 <br /> ILI PERMIT APPLICATION4) <br /> BUILDING/MECHANICAL/PLUMBING/SIGN /SPRINKLER/DEMOLITION <br /> EVERETT CITY OF EVERETT PERMIT SERVICES <br /> • 3200 CEDAR STREET,EVERETT,WA 98201 <br /> WASHINGTON (P)425-257-8810 I FAX 425-257-8851 1(E)everetteps@everettwagoV I Www.everettwa.gOviperrriits <br /> (BlR*or Blau*Ink Only Manna) PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS:1201 SE Everett Way e-AAP---,/---- PROPERTY TAX#:28051800404300 <br /> LEGAL for new construction: Short Plat/subdivision See Attachment Lot No. (attach copy of long legal description) fe...... <br /> CONTACT INFORMATION <br /> OWNER NAME: tvertt Maall il Ll_c TENANT BUSINESS NAME(Comm ial): Quality Sewing <br /> OWNER MAILING ADDRESS: STREET12411 Ventura Blvd. <br /> cry Studio City STATE CA ZIP <br /> OWNER PHONE: OWNER EMAIL: <br /> CONTRACTOR NAME; Adatto Construction Inc. <br /> CONTRACTOR ADDRESS: sTeEET 131 4 Denny Way #103 <br /> my Seattle sTATE WA zip 98109 <br /> ,--- ) <br /> CONTRACTOR PHONE:206-625-5300 RACTOR EMAIL:ADATTOC1108DR <br /> e•-• <br /> CONTRACTOR LICENSE#(REQUIRE VK- r k V)S• EVERETT BUSINESS LICENSE tNRECIUIRED): pending <br /> PRIMARY CONTACT: DOWNER a pecify) Prri:ct rn-na.er 7 <br /> CONTACT NAME: tiCA- TACT PHONE:206-423-5690 <br /> Josef Schneider CONTACT EMAIL:joSef@sohneider-eleC.COM Co <br /> BUILDING INFORMATION <br /> Existing Use of Building: Vacant(Big 5 Sports) Contract Price of Work:$ 15000.00(construction only) <br /> Proposed Use of Building: Retail Sales Heat Source: aGas 1:IElectric ClOther <br /> BUILDING USE: DSFR DTownhouse ODuplex OADtJ EiMulti-Family-#Units: 0Commercial OAccessory Structure <br /> Type of Project: ONew OAdclition CIRernoclel I:Repair T,I, OSign DSprinkler EIDernolitiori :OChine of Use <br /> DESCRIPTION OF WORK: Scope of work:to add new walls in the existing space with doors, no exterior or stuctural work <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> MECHANICAL.PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> ph,h,Fixture List of Fixtures —re List of Fixtures Fixture Fixture List of Fixtures List of Fixtures <br /> Count Count Count Count <br /> NC-Air Handling Units Gas Piping Backflow Preventer(Inside Bldg) Shower,Tub,or Combo <br /> Boller Gas Range Clothes Washer SInk-Commercial(3-comp,prep,floor) <br /> Clothes Dryer Heat Purnp&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 No.oft-leads <br /> Chemlot4 Suppression System I No.of Heads <br /> ACKNOWLEDGEMENT:I have reviewed this application and confirm the information contained herein is true end 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 I am authod-zed by the owner of this property to perform the work for which application is made, <br /> and!comply with the Contractors Law 18.27 RCW'and 296.200A WAC. <br /> PE # City of Everett Official Use Only <br /> /I 1 e I, <br /> :"., <br /> 1/ito/t...0 <br /> Owner/Authorized Agent Signature • Date (Revised 100 0/2018) I 112 <br />