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PERMIT APPLICATIOVII <br /> BUILDING MECHANICAL/ PLUMBING /SIGN MPRINKLER/ 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 1 www.everettwa.gov/permits <br /> (Blue or Black Ink Only Please) PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS:6605 Merrill Creek Parkway, Everett WA 98203 PROPERTY TAX#: 28040200301000 <br /> LEGAL for new construction: Short Plat/subdivision See attached Lot No. (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME: SNBL USA LTD TENANT BUSINESS NAME(Commercial): SNBL <br /> OWNER MAILING ADDRESS: STREET 16203 121ST AVE NE <br /> crr Bothell STATE WA ZIP 98011 <br /> OWNER PHONE: (425)322-1687 OWNER EMAIL: info@snbl.co.jp <br /> CONTRACTOR NAME:MacDonald Miller Facility Solutions <br /> CONTRACTOR ADDRESS: STREET 7717 Detroit Ave SW <br /> CITY Seattle STATE WA ZIP 98106 <br /> CONTRACTOR PHONE:(206)768-4062 CONTRACTOR EMAIL:Permits@macmiller.com <br /> CONTRACTOR LICENSE#(REQUIRED):MACDOFS980RU CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 040665 <br /> PRIMARY CONTACT: ❑OWNER El CONTRACTOR 0 OTHER(Please Specify) contractor agent <br /> CONTACT NAME: CONTACT PHONE:(206)768-4062 <br /> Ammone Bembry CONTACT EMAIL:permits@macmiller.com <br /> BUILDING INFORMATION <br /> Existing Use of Building:Laboratory Contract Price of Work:$200,000 <br /> Proposed Use of Building:Laboratory Heat Source: EIGas ❑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: Replacement of existing high-pressure steam watertube boiler with new high-pressure <br /> steam firetube boiler. Steam and natural gas piping modifications per plans. <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 /> A/C—Air Handling Units Gas Piping Backflow Preventer(Inside Bldg) Shower,Tub,or Combo <br /> 1 Boiler Gas Range Clothes Washer Sink-Commercial(3-comp,prep,floor) <br /> Clothes Dryer Heat Pump&Ductless Dishwasher Sink-Residential(kitchen,bath,bar) <br /> Duct System(Remodel) Refrigeration Drinking Fountain Sink-Utility,laundry,mop <br /> Exhaust Fans(Residential) Commercial Ventilation Floor Drain Toilet <br /> Exhaust Hood(Type I) (Not Heat/AC system) Hose Bibb Urinal <br /> Exhaust Hood(Type II) 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 I 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 /> " a PEr/Rr/M`IT# /y�J <br /> 11/04/2020 <br /> Owner/Authorized Agent Signature Date (Revised 10/1 /2018) <br />