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PERMIT t APPLICATION <br /> BUILDING ECHANICAL/ PLUMBING / SIGN RINKLER / DEMOLITION <br /> 4,,..,,./ 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: 1325 SE EVERETT MALL WAY UNIT B4 PROPERTY TAX#: 28051800404900 <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME: TRU 2005 RE I LLC TENANT NAME(If Commercial): FLYING SQUIRREL SPORTS <br /> OWNER MAILING ADDRESS: STREET 1 GEOFFREY WAY <br /> crry WAYNE STATE NJ ZIP 07470 <br /> OWNER PHONE: OWNER EMAIL: <br /> CONTRACTOR NAME: WOLFE FIRE PROTECTION <br /> CONTRACTOR ADDRESS: STREET 832 8 0 T H STREET SW <br /> CITY EVERETT STATE WA ZIP 98203 <br /> CONTRACTOR PHONE: (3 6 0) 7 9 4—8 62 1 EXT 206 CONTRACTOR EMAIL: JOD I J@WOLFEFP . COM <br /> CONTRACTOR LICENSE#(REQUIRED): WOLFEFP 9 0 6DD CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 050129 <br /> PRIMARY CONTACT: ❑ OWNER IN CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: Jodi Joanis CONTACT PHONE: (360) 794-8621 ext 206 <br /> CONTACT EMAIL: jodij@wolfefp . com <br /> BUILDING PERMIT APPLICATION <br /> Existing Use of Building: Contract Price of Work: $ 23, 300 . 00 <br /> Proposed Use of Building: Heat Source: ❑Gas ❑Electric ❑Other <br /> Building Type: ❑SFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units: ®Commercial ❑Industrial <br /> Type of Project: New ❑Addition ®Remodel ❑Repair ❑T.I. ❑Sign ®Sprinkler ❑Demolition ❑Change of Use <br /> DESCRIPTION OF WORK: Existing Building-tenant improvement 1.New Kitchen and Cooler 2. New Drop ceiling Areas <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type of Project: New _ Addn X Alteration Repair Type of Project: New _Addn _Alteration _Repair <br /> #of List of Fixtures #of List of Fixtures #of List of Fixtures #of List of Fixtures <br /> Fixtures Fixtures Fixtures Fixtures <br /> A/C—Air Handling Units Heat Pump Toilet Backflow Preventer(Inside Bldg) <br /> Forced Air Systems Unit Heater Bathtub Urinal <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 Hookups Other: Clothes Washer _Medical Gas <br /> Range Hood Water Heater Other: <br /> Exhaust Fan Sink(Service/Bar/Mop/etc.) Other: <br /> SPRINKLER/ SUPPRESSION SYSTEM <br /> 34 Number 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 /> f 7 ��� PERMIT# t) 7, 1 � 6 <br /> 1/ lFC\ V L� <br /> Ow r uthorized nt Signature Date (Revised 5/20/2016) <br />