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EMI 0 <br /> PERMIT APPLICATION• <br /> ill <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 425-257-8857 I(E)everetteps©everettwa.gov I www.everettwa.gov/permits <br /> (Blue or,Black Ink Only Plsa..) ,m PROJECT`SITE INFORMATION w. <br /> PROJECT SITE ADDRESS: 7003 Evergreen Way, Everett, WA 98203 PROPERTY TAX.#:00392800601400 <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> ;CONTACT INFORMATION 1:1 'T? i:. _r ; . , <br /> OWNER NAME: Thompson Family Holdings LLC TENANT BUSINESS NAME(Commerci I): Windermere Real Estate/Realty Brokerage Inc. <br /> OWNER MAILING ADDRESS: STREET7100 Evergreen Way, Suite A <br /> CITY Everett STATE WA ZIP 98203 <br /> OWNER PHONE:4253275988 OWNER EMAIL:rthompson@WCnW.biZ <br /> CONTRACTOR NAME:G3 Building Co. <br /> CONTRACTOR ADDRESS: STREET685 Spring St. PMB 334 <br /> CITY Friday Harbor STATE WA ZIP 98250 <br /> CONTRACTOR PHONE:425-359-7480 CONTRACTOR EMAIL:gene@g3buildingCo.COm <br /> CONTRACTOR LICENSE#(REQUIRED)_ - u` a CITY OF EVERETT BUSINESS LICENSE#(REQUIRE <br /> PRIMARY CONTACT: ip OWNER 0 CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE:425-327-9020 \ ' , <br /> Courtney Campbell CONTACT EMAIL:ccampbell@wp biz ,\ <br /> ,.:. BUIL'DING;INFORM,.ATION ` . <br /> Existing Use of Building:Office space Contract Price of Wor :$ ZZ:0 h <br /> Proposed Use of Building:Windermere Office Heat Source: ❑Gas Ele ric Other <br /> BUILDING USE: ❑SFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: ccessory Structure <br /> Type of Project: ❑New ❑Addition ©Remodel DRepair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use <br /> DESCRIPTION OF WORK: New-fleering t, fighting replacements minimal framing, drywall and drywall repair, <br /> rlor•n ce!ee me y fe i <br /> "o"'r <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> MECHANICAL PERM_ IT APPLICATION `' 3 PLUMBING:PERNTWAPPLICA'1TION <br /> Fixture I Fixture Fixture Fixture I List of Fixtures <br /> Count List of Fixtures Count List ofFixtures Count List of Fixtures Count <br /> NC—Air Handling Units Gas Piping Backflow Preventer(Inside Bldg) Shower,Tub,or Combo <br /> Boiler Gas Range Clothes Washer Sink-Com ercial(3-comp,prep,floor) <br /> -- <br /> Clothes Dryer Heat Pu &Ductless Dishwasher Sink-R idential(kitchen,bath,bar) <br /> Duct System(Remode Refri ration Drinking Fountain Sin tility,laundry,mop <br /> Exhaust Fans(Residentia mmercial Ventilatior Floor Drain •ilet <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) Nod 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 INtecr Heater <br /> SPRINKLER/'SUPPRESSION SYSTEM";,; Sewage Ejector or . p 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!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 Evl;Fett Official Use Only <br /> Digitally <br /> BC nda FyB o=aWM nagement Brenda Faux <br /> LLru@_mp banwmgmtgroup.com,c US W� <br /> �( 1.O <br /> 3 +- ,()k D <br /> 2/12 <br /> Owner/Authorized Agent Signature D trzoz,.oz.,zog:BgsB oaoo Date/2021 (Revised 10/10/2018) <br /> • <br /> Iz•- <br />