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El <br />PERMIT APPLICATION <br />BUILDINC40ECHANICAL / PLUMBING / SIGN RINKLER / DEMOLITION <br />CITY OF EVERETT PERMIT SERVICE <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />(P) 425-257-8810 1 FAX 425-257-8857 1 (E) everetteps@everettwa.gov I www.everettwa.gov/permits <br />(Blue or Black Ink Only Please) PROJECT SITE INFORMATION <br />PROJECT SITE ADDRESS: 3000 Rockefeller Ave. Everett, WA 98201 1PROPERTY <br />TAX #: N/A <br />LEGAL for new construction: Short Plat/subdivision N/A Lot No. (attach copy of long legal description) <br />CONTACT INFORMATION <br />OWNER NAME: Snohomish County TENANT NAME (If Commercial): N/A <br />OWNER MAILING ADDRESS: STREET 3000 Rockefeller Ave., �- <br />CITY Everett STATE Washington ZIP 98201 <br />OWNER PHONE: 425.903.0842 <br />OWNER EMAIL: Adam.Johnson@co.snohomish.wa.us <br />CONTRACTOR NAME: Mckinstry Essention LLC <br />CONTRACTOR ADDRESS: STREET 5005 3rd Ave South <br />CITY Seattle STATE Washin ton zip 98134 <br />CONTRACTOR PHONE: 206.762.2624 <br />CONTRACTOR EMAIL: WilliamP@mckinstr .com <br />CONTRACTOR LICENSE #(REQUIRED): MCKIEL874CL <br />I CITY OF EVERETT BUSINESS LICENSE #(REQUIRED): 052236 <br />PRIMARY CONTACT: ❑ OWNER M CONTRACTOR ❑ OTHER (Please Specify) <br />CONTACT NAME: Will Pokorny <br />CONTACT PHONE: 206.832.81 59 <br />CONTACT EMAIL: WilliamP@mckinstry.com <br />BUILDING PERMIT APPLICATION <br />Existing Use of Building: Office Space <br />Contract Price of Work: $ $205 ,880 <br />Proposed Use of Building: Office Space <br />Heat Source: ❑Gas WElectric ❑Other <br />Building Type: ❑SFR-Detached ❑SFR-Attached ❑Duplex []Multi -Family-# of Units: DgCommercial [Industrial <br />Type of Project: ❑New ❑Addition ❑Remodel ❑Repair WT.I. ❑Sign []Sprinkler ❑Demolition ❑Change of Use <br />DESCRIPTION OF WORK: <br />Provide redundant fluid cooler and set on the roof next to existing <br />CCT-1. (c-ol��t� newt r) <br />ASSOCIATED BUILDING PERMIT # (if applicable): N/A <br />MECHANICAL PERMIT APPLICATION <br />PLUMBING PERMIT APPLICATION <br />Type of Project: _New _ Addn x Alteration _Repair <br />Type of Project: _New _Addn <br />_Alteration _Repair <br /># of <br />Fixtures <br />List of Fixtures <br /># of <br />Fixtures <br />List of Fixtures <br /># of <br />Fixtures <br />List of Fixtures <br /># of <br />Fixtures <br />List of Fixtures <br />A/C — Air Handling Units <br />Heat Pump <br />Toilet <br />Backflow Preventer (Inside Bldg) <br />Forced Air Systems <br />Unit Heater <br />Bathtub <br />Urinal <br />Gas Piping <br />Boiler <br />Lavatory (Wash Basin) <br />-Drinking Fountain <br />Water Heater <br />X <br />Refrigeration <br />Shower <br />Floor Drain <br />Gas Fireplace <br />Wood Stove <br />Kitchen Sink & Disposal <br />Grease Trap <br />Gas Range <br />Ducting <br />Dishwasher <br />lRoof Drains <br />Clothes Dryer Hookups <br />Other: <br />Clothes Washer <br />Mecical Gas <br />Range Hood <br />Water Heater <br />Other: <br />Exhaust Fan <br />Sink (Service/Bar/Mop/etc.) <br />Other: <br />SPRINKLER <br />/ SUPPRESSION <br />SYSTEM <br />rhCr ,:cdi or Water <br />I <br />I 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 / comply with the State Contractors Law 18.27 RCW and 296.200A WAC. <br />Owner/Authorized Agent <br />Date <br />City of Everett Official Use Only <br />PERMIT # <br />(Revised 9/23/2016) <br />