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4reTT 40 PERMIT APPLICATIO* <br /> BUILDING/MECHANICAL/ PLUMBING /SIGN / SPRINKLER/ DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET,EVERETT,WA 98201 <br /> (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 Please) PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS: 2939 Colby Avenue, Everett WA 98201 PROPERTY TAX#: 00644968301500 <br /> LEGAL for new construction: Short Plat/subdivision _- Lot No. (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME: Everett Museum of History TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: STREET P.O. Box 5556 <br /> CITY Everett STATE WA ZIP 98206 <br /> OWNER PHONE: 425-345-7349 OWNER EMAIL: BG.EverettMuseum@comcast.net <br /> CONTRACTOR NAME: Newland Construction Co., Inc. <br /> CONTRACTOR ADDRESS: STREET 3300 Chestnut Street <br /> CITY Everett STATE WA ZIP 98201 <br /> CONTRACTOR PHONE: 425-259-9191 CONTRACTOR EMAIL: si@newlandcompany.com <br /> CONTRACTOR LICENSE#(REQUIRED): NEWLAC343LO CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 018056 <br /> PRIMARY CONTACT: 0 OWNER ❑CONTRACTOR r$OTHER(Please Specify) Owner's Rep-Capital Architects Group PC <br /> CONTACT NAME: CONTACT PHONE: 425-317-8017 <br /> Sandra Higgins, President <br /> CONTACT EMAIL: sandra@caparchgroup.com <br /> BUILDING PERMIT APPLICATION <br /> Existing Use of Building: Business Group B Contract Price of Work:$ yo,0oca <br /> Proposed Use of Building: Business Group B Heat Source: ❑Gas MElectric ❑Other <br /> Building Type: ❑SFR-Detached ❑SFR-Attached ODuplex ❑Multi-Family-#of Units: Xcommercial ❑Industrial <br /> Type of Project: ❑New ❑Addition El Remodel ❑Repair ❑T.I. OSign ❑Sprinkler JADemolition El Change of Use <br /> DESCRIPTION OF WORK: Demolition of non-structural walls,ACT and existing plumbing fixtures for future Tenant Improvement. <br /> Cleaning&waterproofing of basement masonry walls to prevent further damage. <br /> Demo of existing miscelaneous electrical equipment from the generator. n <br /> R wit#i nerg -e€fasient l•indows i isti n exng cam_ge.?P"2.T o+F ee. - \dC <br /> ASSOCIATED BUILDING PERMIT#(if applicable): VLtAA, LCia.GQ pPi_LS <br /> MECHANICAL PERMIT APPLICATI PLUMBING PE IT APPLICATION <br /> Type of Project: _New _ Addn _Alteration Repair Type of Project: _New _Addn _Alteration -epair_ __ <br /> #of List of Fixtures #of List of Fixtures #of List of Fixtures #of ist of Fixtures <br /> Fixtures Fixture Fixtures Fixtures <br /> NC—Air Handling Units Heat Pump Toilet B.- flow Preventer(Inside Bldg) <br /> Forced Air Systems Unit Heater Bathtub rinal _ __ <br /> Gas Piping Boiler Lavatory(Wash Basin) Drinking Fountain <br /> Water Heater Refrigeration Shower Floor Drain <br /> Gas Fireplace Wood Stove Kitchen Sink&Disposal Grease Trap <br /> Gas Range Ducting Dishwasher Roof Drains <br /> Clothes Dryer •okups Other: Clothes Washer Medical Gas <br /> Range Hoo• Water Heate Other: <br /> Exhaust :n Sink(Ser ce/Bar/Mop/etc.) Other: <br /> SPRI KLER/SUPPRESSION SYSTEM <br /> emical or Water 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 I comply with the State Contractors Law 18.27 RCW and 296.200A WAC. <br /> ` — City of Everett Official Use Only <br /> �� Ga PERMI t — O C. C <br /> a o e gent Signature Date (Revised 9/23/2016) i 12 <br />