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4ren. PERMIT APPLICATIOM <br /> BUILDINO MECHANICAL/ PLUMBING/SIGNIFSPRINKLER/ 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:11127 Evergreen Way,Everett,WA 98204-3848 PROPERTY TAX#:0026062 <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME: Boeing Employee Credit Union TENANT BUSINESS NAME(Commercial): <br /> OWNER MAILING ADDRESS: STREET 12770 Gateway Drive <br /> city Tukwila STATE WA ZIP 98168 <br /> OWNER PHONE: 206-436-2831 OWNER EMAIL:thomas.mun@becu.org <br /> CONTRACTOR NAME: <br /> iM ��.�..c ( pysA. <br /> CONTRACTOR ADDRESS: STREET <br /> CITY STATE ZIP <br /> CONTRACTOR PHONE: n (J CONTRACTOR EMAIL: f L.� <br /> CONTRACTOR LICENSE#(REQUIRED): ('J\C 2 �CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): C�`r4- 1 <br /> PRIMARY CONTACT: ❑OWNER 0 CONTRACTOR 0 OTHER(Please Specify) ArahrtBc1 <br /> CONTACT NAME: CONTACT PHONE:206 399 3640 <br /> David Bates CONTACT EMAIL:dbates@oacsvcs.com <br /> BUILDING INFORMATION <br /> Existing Use of Building:Commercial-Bank Contract Price of Work:$t,000,000 <br /> Proposed Use of Building:Commercial-Bank Heat Source: ❑Gas ❑Electric ❑Other <br /> BUILDING USE: ❑SFR ❑Townhouse ❑Duplex ❑ADU DMulti-Family-#Units: OCommercial ❑Accessory Structure <br /> Type of Project: ❑New ❑Addition ❑Remodel ❑✓Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use <br /> DESCRIPTION OF WORK: Partially replace existing EIFS cladding with new EIFS, Remove <br /> existing flag pole assembly. Existing storefront and windows to be removed and reinstalled to accommodate cladding <br /> replacement work. No interior work to be performed except patching of interior walls at perimeter of storefront windows. <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 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 /> PERMIT# (� t uQ <br /> Owner/Authorized Agent Signature Date (Revised 10/10/2018) <br />