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011ETT PERMIT APPLICATIO <br /> BUILDINCG'�'MECHANICAL / PLUMBING / SIGN PRINKLER / 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#: <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME: AD Systems TENANT NAME(If Commercial): AD Systems <br /> OWNER MAILING ADDRESS: STREET2201 100th St. SW <br /> coy Everett STATE WA ZIP 98204 <br /> OWNER PHONE:425-374-1360 OWNER EMAIL:greg.goldfinch@specadsytems.com <br /> CONTRACTOR NAME: Patriot Fire Protection, Inc. <br /> CONTRACTOR ADDRESS: STREET 2707 70th Ave F <br /> CITY Tacoma STATE WA ZIP 98424 <br /> CONTRACTOR PHONE: 253-926-2290 CONTRACTOR EMAIL:derekg@patriotfire.com <br /> CONTRACTOR LICENSE#(REQUIRED): PATRIFPifggCF CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 024694 <br /> PRIMARY CONTACT: ❑OWNER RI CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE:253-284-3527 <br /> Derek Gust CONTACT EMAIL:derekg@patriotf .com <br /> BUILDING PERMIT APPLICATION <br /> Existing Use of Building:N/A Contract Price of Wo : $41,783.00 <br /> Proposed Use of Building:warehouse expansion-storage Heat Source: ❑Gas ❑Ele ric ❑Other <br /> Building Type: ❑SFR-Detached ❑SFR-Attached ❑Duplex DMulti-Family-#of Units: INCommercial ❑Industrial <br /> Type of Project: ONew El Addition ❑Remodel ❑Repair ❑T.I. ❑Sign INSprinkler DDemolition ❑Change of Use <br /> DESCRIPTION OF WORK: <br /> Extend existing wet sprinkler system into new warehouse area <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type of Project: ONew Q Addn ElAlteration ORepair Type of Project: ONew ElAddn OAlteration ORepair <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 I SUPPRE rSION Si TEM <br /> we Ys R, Number of H ads <br /> ACKNOWLEDGEMENT:1 have reviewed thi application a 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 grant' of a per it only authorizes approved work and no deviations therefrom.Deviations must first be authorized in writing from the <br /> Building Offici efor being authorized under a it stance. 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 1 comp 'h t tate Contractors Law 18.27 RCW and 296.200A WAC. <br /> City of Everett Official Use Only <br /> PER IT# <br /> 12-21-17 `gQ •-- 0 <br /> Owner/Authorized Ag t Signature Date (Revised 5/20/2016) C fk i <br />