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• PERMIT APPLICATION") <br /> BUILDINGMECHANICAL / PLUMBING /SIGN / SPRINKLER / 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 /> (Blue or Black Ink Only Please) PROJECT SITE INFORMATION <br /> PROJECT SITE ADDF ZTza kee it[lER_AWE EVERETT, WA 98201 PROPERTY TAX#:00439162601700 <br /> LEGAL for new construction: Short Plat/subdivision Plat of Everett Lot No.1 7-26 (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME: Trent Mummery TENANT BUSINESS NAME(Commercial): Everett OZ Developer LLC <br /> OWNER MAILING ADDRESS: STREET 1420 Fifth Ave, Suite 2200 <br /> CITY Seattle STATE WA ZIP 98101 <br /> OWNER PHONE: 206-234-6543 OWNER EMAIL:trent@onetrent.com <br /> CONTRACTOR NAME:Braseth Construction <br /> CONTRACTOR ADDRESS: STREET 3835 W Marginal Way SW <br /> CITY Seattle STATE WA zip 98106  <br /> CONTRACTOR PHONE:206-937-5661 CONTRACTOR EMAIL:milo@brasethconstruction.com 7 �I <br /> CONTRACTOR LICENSE#(REQUIRED):BRASECC162B2 CITY OF EVERETT BUSINESS LICENSE#(REQUIR D): 6004909520010001 <br /> PRIMARY CONTACT: 0 OWNER 0 CONTRACTOR ❑OTHER(Please Specify) Architect l0 2A 9 4 <br /> CONTACT NAME: CONTACT PHONE:(206)259-2601 <br /> Brenda Barnes CONTACT EMAIL:bbarnes@clarkbarnes.com <br /> BUILDING INFORMATION <br /> Existing U g on Contract Price o Use of Building:YMCA Building Addition <br /> $y��o 400K J <br /> �F <br /> e' <br /> Proposed Use of Building: Heat Source: Gas 0Electrje ❑Other <br /> BUILDING USE: ❑SFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: /commercial ❑✓Accessory Structure <br /> Type of Project: ❑New ❑Addition ❑Remodel ❑Repair ETA. ❑Sign ❑Sprinkler ❑✓Demolition ❑Change of Use <br /> DESCRIPTION OF WORK: <br /> DEMOLITION OF 1960'S AND 1980'S ADDITION TO YMCA BUILDING. ORIGINAL 1920'S STRUCTURE TO REMAIN. <br /> ASSOCIATED BUILDING PERMIT#(if applicable): l �j(A '/ lot- 0 3 n \Y/I`j �1- tl e 4/) <br /> MECHANICAL PERMIT APPLICATION 1 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 /> A/C—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& uctless Dishwasher `/ Sink-Residential(kitchen,bath,bar) <br /> Duct System(Remodel) Refrigerat n Drinking Fountain Sink-Utility,laundry,mop <br /> Exhaust Fans(Residential) Comm vial Ventilation Floor Drain Toilet <br /> Exhaust Hood(Type I) (No eat/AC system) Hose Bibb,.' Urinal <br /> Exhaust Hood(Type II) ater Heater Inter tor-Grease Waste/Water Piping Repair <br /> Exhaust Hood(Residential) ,,,-- Wood Stove rerceptor-Sand/Oil Water Service(behind meter) <br /> Forced Air Systems Other: Medical Gas Water Valves or Fixtures <br /> Gas Fireplace/Insert/ Roof Drains Water Heater <br /> SPRINKLER/SUPPRESSION SYSTEM Sewage Ejector or Sump Pump Other: <br /> Water Suppression System INo.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 /> and I comply with the State Contractors Law 18.27 RCW and 296.200A WAC. <br /> City of Everett Official Use Only <br /> / ,�1p `n/1 j 9�w F,L 7§ � .4. 9/4/2020 � PER it D�^ D <br /> Owner/Authorized Agent Signature Date (Revised 10/10/2018) <br />