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V E R E T T <br />WASHINGTON <br />PERMIT APPLICATION <br />BUILDINAECHANICAL / PLUMBING / SIGN i 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: 2300 MERRILL CREEK PARKWAY, STE. 200 <br />PROPERTY TAX #: 28040200300200 <br />LEGAL for new construction: Short Plat/subdivision not applicable Lot No. (attach copy of long legal description) <br />CONTACT INFORMATION <br />OWNER NAME: RAINIER PROPERTIES LLC c/o JSH Properties, Inc. TENANT BUSINESS NAME (Commercial): CADENCE AEROSPA <br />OWNER MAILING ADDRESS: STREET 509 Olive Way, Ste. 1011 <br />CITY Seattle STATE WA zIP 98101 <br />OWNER PHONE: 425-283-5480 <br />OWNER EMAIL: <br />CONTRACTOR NAME: HLK DRYWALL LLC <br />CONTRACTOR ADDRESS: STREET P.O. Box 13432 <br />CITY Des Moines STATE WA ZIP 98198 - ----� <br />CONTRACTOR PHONE: 206-653-7253 <br />CONTRACTOR EMAIL: bill@hlkdrywall.com <br />CONTRACTOR LICENSE #(REQUIRED): HLKDRDL89307 <br />CITY OF EVERETT BUSINESS LICENSE #(REQUIRED): applied & paid <br />PRIMARY CONTACT: ❑ OWNER ❑ CONTRACTOR ❑ OTHER (Please Specify) PROJECT ARCHITECT <br />CONTACT NAME: <br />JEFF PRICE <br />CONTACT PHONE: 425-485-3877 <br />CONTACT EMAIL: Jeff@IZICOnstrUctlon.com <br />BUILDING INFORMATION <br />Existing Use of Building: 'B', 'F-1' <br />Contract Price of Work: $ 148,574 <br />Proposed Use of Building: SAME, NO CHANGE <br />Heat Source: OGas ❑Electric ❑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: REMOVAL OF EXISTING PERIMETER WALL INSULATION FOR INSTALLATION OF NEW INSULATIC <br />AND FURRING ASSEMBLY REQUIRED FOR A GYPSUM WALL BOARD INTERIOR FINISH (APPROXIMATELY 600 L.F., 33 F <br />ASSOCIATED BUILDING PERMIT # (if applicable): <br />MECHANICAL <br />PERMIT <br />APPLICATION <br />PLUMBING PERMIT <br />APPLICATION <br />Fixture <br />Count <br />List of Fixtures <br />Fixture <br />Count <br />List of Fixtures <br />Fixture <br />Count <br />List of Fixtures <br />Fixture <br />Count <br />Li sf Fixtures <br />A/C - Air Handling Units <br />Gas Pipi <br />Backflow Preventer (Inside Bldg) <br />Shower, Tub, or Combo <br />Boiler <br />Gas Range <br />Clothes Washer <br />Sink -Commercial (3-comp,prep,floor) <br />Clothes Dryer <br />Heat Pump&Ductless <br />Dishwasher <br />Sink -Residential (kitchen,bath,bar) <br />Duct System (Remodel) <br />Refrigeration <br />Drinking Fountain <br />Sink -Utility, laundry, mop <br />Exhaust Fans (Residential) <br />' <br />Commercial Ventilatio <br />(Not Heat/AC system) <br />Floor Drain <br />Toilet <br />Exhaust Hood (Type 1) <br />Hose Bibb <br />Urinal <br />Exhaust Hood (Type 16), <br />lWater Heater <br />Interceptor -Grease <br />Waste/Water Piping Repair <br />Exhaust Hood (Residential) <br />Wood Stove <br />Interceptor -Sand II <br />Water Service (behind meter) <br />Forced Air Systems <br />Other: <br />Medical Gas <br />Water Valves or Fixtures <br />Gas Fireplage/Insert/Log <br />Roof Dr.)16 <br />Water Heater <br />SPRINKLER / SUPPRESSION <br />SYSTEM <br />Sewage Ejector or Sump Pump <br />Other: <br />Water Suppression System <br />I <br />INo. of Heads <br />Chemical Suppression System <br />I <br />INo. 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 nd rcumstance. 1 am the owner, or 1 am authorized by the owner of this property to perform the work for which application is made, <br />and !comply with the State Contractors LL w 1 CWand 296.200A WAC. <br />�J City of Everett Official Use Only <br />PE <br />'�'tct-'Zooc I t; Z-GOL 1 C)12�� 1 <br />Date (Revised 1011012018) <br />h— <br />Agent Signature <br />