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PERMIT APPLICATION' <br /> BUILDIN�MECHANICAL/ PLUMBING / SIGN�PRINKLER/ 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 1 www.everettwa.gov/permits <br /> (Blue or Black Ink Only Please) PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS:405 Riverside Road PROPERTY TAX#:29050800402500 <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> I CONTACT INFORMATION <br /> OWNER NAME: Pine Forest Everett, LLC TENANT BUSINESS NAME(Commercial): PODS <br /> OWNER MAILING ADDRESS: STREET 11980 NE 24TH ST SUITE 200, BELLEVUE,WA 98005 <br /> ciTy Bellevue STATE WA ZIP 98005 <br /> OWNER PHONE: 425-454-1900, Ext 234 OWNER EMAIL:Tiffiny@burnstead.com <br /> CONTRACTOR NAME:Donovan Brothers Inc. <br /> CONTRACTOR ADDRESS: STREET 1801 West Valley Highway North, Suite 101 <br /> crr Auburn STATE WA ZIP 98001 <br /> CONTRACTOR PHONE:253-939-7777 CONTRACTOR EMAIL:rod@dbros.com <br /> CONTRACTOR LICENSE#(REQUIR � Ov CITY OF EVERETT BUSINESS LICENSE#(REQUIR <br /> PRIMARY CONTACT: El OWNER ❑CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE:425-454-1900, Ext 234 <br /> Tiffiny Brown CONTACT EMAIL:Tiffiny@burnstead.com C. <br /> '- <br /> BUILDING INFORMATION <br /> ��Existing Use of Building:Shell Warehouse Contract Price of ork: $ <br /> Proposed Use of Building:Warehouse Heat Source: El nc er <br /> BUILDING USE: ❑SFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: CCommercial CAccessory Structure <br /> Type of Project: ❑New ❑Addition ERemodel ❑Repair CT.I. ❑Sign :Sprinkler ❑Demolition ❑Change of Use <br /> DESCRIPTION OF WORK: Office Space for existing shell warehouse <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 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 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 /> Citypoof Everett Official Use Only <br /> (._ <br /> Dale Couture - ---- 02'17/2021 PE #`/C, _ A �� <br /> Owner/Authorized Agent Signature Date (Revised 10/10//20001188)\�JJ <br /> I/z <br />