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E, I <br />PERMIT APPLICATION <br />BUILDINgWECHANICAL / PLUMBING / SIGN&RINKLER / DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <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 <br />1PROPERTY 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. WI; <br />CITY Everett STATE Washington ZIP 98201 <br />OWNER PHONE: 4255.903.0842 <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 Washington ZIP 98134 <br />CONTRACTOR PHONE: 206.762.2624 <br />ICONTRACTOR EMAIL: WilliamP@mckinstry.com <br />CONTRACTOR LICENSE #(REQUIRED): MCKI EL874CL <br />I CITY OF EVERETT BUSINESS LICENSE #(REQUIRED): 052236 <br />PRIMARY CONTACT: ❑ OWNER IO CONTRACTOR ❑ OTHER (Please Specify) <br />CONTACT NAME: <br />Will Pokorny <br />CONTACT PHONE: 206.832.81 59 <br />CONTACT EMAIL: WilliamP@mcklnstry.Com <br />BUILDING PERMIT APPLICATION <br />Existing Use of Building: Office Space <br />Contract Price of Work: $ $64,199 <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: MCommercial ❑Industrial <br />Type of Project: El New ❑Addition ❑Remodel []Repair MT.]. ❑Sign ❑Sprinkler ❑Demolition El Change of Use <br />DESCRIPTION OF WORK: ,�� <br />Replace existing Liebert CRAC unit #2 with a new Liebert CRAC unit.' CD <br />CZ,i ►' cLU'�rf7tTs9� <br />t h �e-r v6f rc)o w (cZ lac ? /�{�� �2-�- <br />ASSOCIATED BUILDING PERMIT # (if applicable): N/A <br />MECHANICAL <br />PERMIT APPLICATION <br />PLUMBING PERMIT APPLICATION <br />Type of Project: <br />New _ Addn Alteration _Repair <br />Type of Project: _New _Addn _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 />1 <br />A/C — Air Handling Units <br />Heat Pump <br />Toilet <br />Backflow Freventer (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 />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 />I"? of Drains <br />Clothes Dryer Hookups <br />Other: <br />Clothes Washer <br />Medical 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 />S EM <br />Cha nnicai or Water <br />No. of Heads <br />ACKNOWLEDGEMENT. / 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 />17-/ } <br />Owner/Authorized Agent Signature <br />City of Everett Official Use Only <br />PERMIT # <br />(A(-7( - C <br />(Revised 912312016) 11 <br />