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PERMIT APPLICATION <br /> BUILDING / MECHANICAL/ 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 ADDRESS:1407 80th St. SW PROPERTY TAX#:00392200000700 <br /> LEGAL for new construction: Short Plat/subdivision BEVERLY BERRY TRACTS Lot No.283-74 (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME: ACHILLES USA, INC. TENANT BUSINESS NAME(Commercial): <br /> OWNER MAILING ADDRESS: STREET 1407 80TH ST. SW, <br /> crn EVERETT STATE WA Zip 98203 <br /> OWNER PHONE: (425) 513-6405 OWNER EMAIL:zoborn@achillesusa.com <br /> CONTRACTOR NAME:Dahlgren Industrial <br /> CONTRACTOR ADDRESS: STREET 13975 Interurban Ave. <br /> CITY Tukwila STATE WA Zip 98168 <br /> CONTRACTOR PHONE:(206)236-2300 CONTRACTOR EMAIL:tedp@dahlgrenindustrial.com <br /> CONTRACTOR LICENSE#(REQUIRED):DAHLGI*813MH CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 61202 <br /> PRIMARY CONTACT: ❑OWNER 0 CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE:(253)219-6531 <br /> Ted Philichi CONTACT EMAIL:tedp@dahlgrenindustrial.com <br /> BUILDING INFORMATION <br /> Existing Use of Building:Manufacturing Contract Price of Work:$200,000 <br /> Proposed Use of Building:Manufacturing Heat Source: ❑Gas DElectric DOther none <br /> BUILDING USE: DSFR ❑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: Remove 6 ea. old metal silos and haul away off site. Install 1 ea. new silo on site. <br /> Use existing concrete foundation as recommended and designed by structural engineer <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 /> 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 Ventilatior 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 - No.of Heads <br /> ACKNOWLEDGEMENT:1 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 18.2 .200A WAC. <br /> City of Everett Official Use Only <br /> P IT <br /> •z.G •Zc> • <br /> Owner/Authorized Agent Signature Date (Re <br />