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2201 100TH ST SW AD SYSTEMS 2022-03-07
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2201 100TH ST SW AD SYSTEMS 2022-03-07
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Last modified
3/7/2022 2:19:18 PM
Creation date
3/2/2022 2:15:51 PM
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Address Document
Street Name
100TH ST SW
Street Number
2201
Tenant Name
AD SYSTEMS
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' 41677 • PERMIT APPLICATION <br /> BUILDING I ,r1ECHANICAL / PLUMBING / SIGN / .,r'RINKLER/ DEMOLITION <br /> 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: 2201 100th St. SW, Everett, WA 98204 PROPERTY TAX#: 28041400300500 <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME: Aureus LLC TENANT NAME(If Commercial): AD Systems <br /> OWNER MAILING ADDRESS: STREET 5014 Rucker Ave <br /> CITY Everett STATE WA ZIP 98203 <br /> OWNER PHONE: OWNER EMAIL: <br /> CONTRACTOR NAME: Fisher Construction Group, Inc. <br /> CONTRACTOR ADDRESS: STREET 625 Fisher Lane <br /> ow Burlington STATE WA ZIP 98233 <br /> 7 c <br /> CONTRACTOR PHONE: (360) 757-4094 CONTRACTOR EMAIL: sjb@fishercgi.com <br /> CONTRACTOR LICENSE#(REQUIRED): FISHECG853C3 CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 032912 <br /> PRIMARY CONTACT: ❑ OWNER I: CONTRACTOR ElOTHER(Please Specify) Architect <br /> CONTACT NAME: Seth Burwash CONTACT PHONE: (360) 757-5676 <br /> CONTACT EMAIL: sjb@fishercgi.com <br /> BUILDING PERMIT APPLICATION <br /> Existing Use of Building: Manufacturing Contract Price of Work: $ t , l 3—T1 I K6,.e2--Q- <br /> Proposed Use of Building: Storage Heat Source: ®Gas ❑Electric ❑Other <br /> Building Type: EISFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units: ®Commercial ❑Industrial <br /> Type of Project: ❑New ®Addition ❑Remodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition DChange of Use <br /> DESCRIPTION OF WORK: 20,116 SF pre-manufactured steel building warehouse addition to an exiting manufacturing facility. <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type of Project: New Addn 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 /> Chemical or Water 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 /> )1# �/ PERMIT# 2 `L� <br /> �f2�/ � / � c �o3 <br /> Owner/Authorized Agent Signature Date (Revised 9/23/2016) 1. <br />
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