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El <br />PERMIT APPLICATIONO <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 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: 1 122 75th St SW . C3 <br />PROPERTY TAX #: 28041 2003055000 <br />LEGAL for new construction: Short Platlsubdivision Lot No. (attach copy of long legal description) <br />CONTACT INFORMATION <br />OWNER NAME: PUD #1 OF SNOHOMISH COUNTY TENANT NAME (If Commercial): Snohomish County PUD 1 <br />OWNER MAILING ADDRESS: STREET PO BOX 1107 <br />c, Everett STATE WA Z,, 98201 <br />OWNER PHONE: <br />OWNER EMAIL: <br />CONTRACTOR NAME: Moore Fire Protection <br />CONTRACTOR ADDRESS: STREET 14401 Issaquah -Hobart Rd SE, Ste 304 <br />CITY Issaquah STATE WA zip 98027 <br />CONTRACTOR PHONE: 425-271 -5598 <br />1CONTRACTOR EMAIL: kevinllu@mooreflre.com <br />CONTRACTOR LICENSE #(REQUIRED): MOOREFP 1 1 GNP <br />CITY OF EVERETT BUSINESS LICENSE #(REQUIRED): 47595 <br />PRIMARY CONTACT: ❑ OWNER PCONTRACTOR ❑ OTHER (Please Specify) <br />CONTACT NAME: <br />Kevin Liu <br />CONTACT PHONE: 425-271 -5598 <br />CONTACT EMAIL: kevinliuC@_n-loorefire.com <br />BUILDING PERMIT APPLICATION <br />Existing Use of Building: Storage Buildinq lContract <br />Price of Work: s 4,725 <br />Proposed Use of Building:Storage Building <br />I Heat Source: ❑Gas ❑Electric ❑Other <br />Building Type: ❑SFR-Detached ❑SFR-Attached ❑Duplex ❑Multi -Family-# of Units: Wommercial [Industrial <br />Type of Project: ❑New ❑Addition la Remodel ❑Repair 0T.1. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use <br />DESCRIPTION OF WORK: <br />Addition/alteration to existing wet sprinkler system to accommodate new tenant improvement, adding coverage of riser room and under the staircase. <br />ASSOCIATED BUILDING PERMIT # (if applicable): B1 803-007 <br />MECHANICAL PERMIT APPLICATION <br />PLUMBING PERMIT APPLICATION <br />Type of Project: _New Addn Alteration <br />_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 />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 />Refrigeration <br />Shower <br />Floor Drain <br />Gas Fireplace <br />Wood Stove <br />lKitchen Sink & Disposal <br />Grease Trap <br />Gas Range <br />Ducting <br />Dishwasher <br />Roof 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 />SYSTEM <br />Chemical or Water <br />I <br />I No. of Heads <br />ACKNOWLEDGEMENT. l 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. / am the owner, or l 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 />Owner/AGthorized Agent Signature <br />City of Everett Official Use Only <br />g PERMIT #� <br />�r .7 <br />Date (Revised 9/23/2016) <br />