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� PERMIT APPLICATIO^ <br /> BUILDINOMECHANICAL / PLUMBING /SIGN PRINKLER / 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 1 (E) everetteps@everettwa.gov I www.everettwa.gov/permits <br /> (Blue or Black Ink Only Please) PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS:607 SE Everett Mall Way PROPERTY TAX#:28051800304000 <br /> LEGAL for new construction: Short Plat/subdivision Lot No. __ (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME: NW Prime Properties TENANT BUSINESS NAME(Commercial): 7-Eleven <br /> OWNER MAILING ADDRESS :MEET 6947 Coal Creek Parkway#69 <br /> aTv Newcastle STATE WA ZIP 98059 <br /> OWNER PHONE:?00 2)5678 OWNER EMAIL:ALEX@nwprime.com <br /> CONTRACTOR 'AME:TBD T 2, .—' (A,eJ <br /> CONTRACT DRESS: sTR:�T <br /> Cl7 .' STATE ZIP <br /> CONTRAC OR PHONE: CONTRACTOR EMAIL: p <br /> CONTRACT R LICE 15,#(i QUIREDG(�S 1��` 1 v�� CITY OF EVERETT BUSINESS LICENSE#(REQUIRED)G33 2 JVO <br /> PRIMARY CONTACT: `❑OWNER 0 CONTRACTOR 0 OTHER (Please Specify) Applicant <br /> CONTACT NAME: CONTACT PHONE:206-795-3794 <br /> Tom Noble CONTACT EMAIL:tom.noble@sevansolutions.com <br /> BUILDING INFORMATION <br /> Existing Use of Building:Convenience Store _Contract Price of Work:S 125,000 <br /> Proposed Use of Building:Convenience Store Heat Source: ❑Gas DElectric ❑Other <br /> BUILDING USE: ❑SFR Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: ❑✓Commercial ❑Accessory Structure <br /> Type of Project: ❑New Addition ❑Remodel Repair ❑✓T.I. Sign ❑Sprinkler ❑Demolition ❑Change of Use <br /> DESCRIPTION OF WORK: Remodel convenience store and retail spaces in the -3600 square foot convenience store <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 /> 2 A/C—Air Handling Units Gas Piping Backflow Preventer(Inside Bldg) Shower,Tub,or Combo <br /> Boiler Gas Range Clothes Washer 1 Sink-Commercial 3-com( p,prep,floor) <br /> Clothes Dryer Heat Pump&Ductless Dishwasher Sink-Residential(kitchen,bath,bar) <br /> Duct System (Remodel) 1 Refrigeration Drinking Fountain 1 Sink-Utility,laundry,mop <br /> Exhaust Fans(Residential) Commercial Ventilation 6 Floor Drain 1 Toilet <br /> Exhaust Hood(Type I) (Not Heat/AC system) Hose Bibb Urinal <br /> Exhaust Hood(Type II) 1 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 '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 /> � <br /> and I comply with the State Contractors Law 18., 7 Rt/and 296.200A WAC. <br /> ~r City of Everett Official Use Only <br /> ,..,'" PERMI <br /> Tom Noble D,y,Ys,9edbiTomNor a ( <br /> 206 - C° <br /> s��•�.,-- le <br /> Owner/Authorized Age t Signature DaZ (Revised 10/10/2018) <br /> 1Z <br />