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liECHANICAL <br /> PERMIT APPLICATIONAkNil BUILDING /PLUMBING/SIGN IirRINKLER/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 /> Ski.or Black Ink Only Please) PROJECT SITE INFORMATION; <br /> ROJECT SITE ADDRESS:405 SE Everett Mall Way PROPERTY TAX#: <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME: Target TENANT BUSINESS NAME(Commercial): Target#0337 <br /> OWNER MAILING ADDRESS: sTREET405 SE Everett Mall Way <br /> crry Everett STATE WA zip 98208 <br /> OWNER PHONE: 4253533167 OWNER EMAIL: <br /> CONTRACTOR NAME:Seattle Tacoma Olympia Plumbing Inc. <br /> CONTRACTOR ADDRESS: STREET 11301 17th Ave E <br /> crry Tacoma STATE Wazip 98445 <br /> CONTRACTOR PHONE:8773807904 CONTRACTOR EMAIL:Info@stopinc.com <br /> CONTRACTOR LICENSE#(REQUIRED):seattt0917mu CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 60667 <br /> PRIMARY CONTACT: ❑OWNER 0 CONTRACTOR ❑OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE:4253872544 <br /> Clifton Brown CONTACT EMAIL:C.brown@stopinc.com <br /> BUILDING INFORMATION <br /> Existing Use of Building:Retail shopping Contract Price of Worlc$ 3 6) 6 0 D <br /> Proposed Use of Building: Heat Source: OGas OElectric ❑other <br /> BUILDING USE: ©SFR ❑Townhouse ❑Duplex DADU ❑Multi-Family-#Units: ❑✓Commercial ❑Accessory Structure <br /> Type of Project: ❑New DAddition ❑Remodel ❑Repair ❑T.I. ❑Sign OSprinkler ❑Demolition ❑Change of Use <br /> DESCRIPTION OF WORK: Removing sprinkler system backflow preventer from vault and replace with section of piping. Install new <br /> backflow preventer downstream of fire main in above ground sprinkler room. <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Fixture List of Fixtures R""'"e List of Fixtures List of Fixtures Flxture List of Fixtures <br /> Count coon Count Count <br /> A/C—Air Handling Units Gas Piping 1 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 I SUPPRESSION SYSTEM Sewage Ejector or Sump Pump Other: <br /> Water Suppression System No.of Heads <br /> Chemical Suppression System 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.lam the owner,or l 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 96.200A WAC. <br /> City of Everett Official Use Only <br /> I PERMI�:.,` i61r VV1 <br /> l 0JA,JZoz t <br /> gent Signature Date (Revised 10/102018) <br /> Vz <br />