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0 PERMIT APPLICATIONO <br />BUILDING / MECHANICAL / PLUMBING / SIGN / 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: 6201 ASSOCIATED BLVD EVERETT, WA. 98203 <br />PROPERTY TAX #: sd�G3O i��D <br />LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br />CONTACT INFORMATION <br />OWNER NAME: CRG TENANT NAME (If Commercial): <br />//1C,,,,RG I:PWI <br />OWNER MAILING ADDRESS: STREET N/A G <br />CITY STATE ZIP <br />OWNER PHONE: <br />OWNER EMAIL: <br />CONTRACTOR NAME: UNIVERSAL REFRIGERATION <br />CONTRACTOR ADDRESS: STREET 4102 B PL . NW. <br />cITY AUBURN STATE WA zip 98001 <br />CONTRACTOR PHONE: (253) 939-5501 <br />CONTRACTOR EMAIL: DES I GN@UNIVERSALREFRIG. COM <br />CONTRACTOR LICENSE #(REQUIRED): UNIVERI159RF <br />CITY OF EVERETT BUSINESS LICENSE #(REQUIRED): 027645 <br />PRIMARY CONTACT: ❑ OWNER ® CONTRACTOR ❑ OTHER (Please Specify) <br />CONTACT NAME: AIDAN WILSON <br />CONTACTPHONE: (253)939-5501 <br />CONTACT EMAIL: DESIGN @UNIVERSALREFRIG. COM <br />BUILDING PERMIT APPLICATION <br />Existing Use of Building: WAREHOUSE lContract Price of Work: $ 33,000 <br />Proposed Use of Building: I Heat Source: INGas []Electric ❑Other <br />Building Type: ❑SFR-Detached ❑SFR-Attached ❑Duplex ❑Multi -Family-# of Units: ®Commercial ❑Industrial <br />Type of Project: KINew ❑Addition ❑Remodel ❑Re air ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use <br />DESCRIPTION OF WORK: INSTALL MECHANICAL SYSTEMS PER PLAN. <br />ASSOCIATED BUILDING PERMIT # if applicable): 131904-031 <br />MECHANICAL PERMIT,'APPLICATION, <br />PLUMBING PERMIT APPLICATION <br />Type of Project: X New _ Addn _Alteration _Repair <br />Type of Project: _New _Addn _Alteration _Repair <br /># of <br />Fixtures <br />List of Fixtures <br /># of <br />Fixtures <br />List of Fixtures <br /># of <br />Fixtures <br />List of Fixtures <br /># of <br />Fixtures <br />List of Fixtures <br />A/C — Air Handling Units <br />Heat Pump <br />Toilet <br />Backflow Preventer (Inside Bldg) <br />1 <br />Forced Air Systems <br />Unit Heater <br />Bathtub <br />Urinal <br />Gas Piping <br />Boiler <br />Lavatory Wash Basin <br />Drinking Fountain <br />Water Heater <br />Refrigeration <br />Shower <br />Floor Drain <br />Gas Fireplace <br />Wood Stove <br />Kitchen Sink & Disposal <br />Grease Trap <br />Gas Ran a <br />Ductinq <br />Dishwasher <br />Roof Drains <br />Clothes Dryer Hookups <br />Other: ERV <br />Clothes Washer <br />Medical Gas <br />Range Hood <br />Water Heater <br />Other: <br />Exhaust Fan <br />Sink (Service/Bar/Mop/etc. <br />Other: <br />SPRINKLER`/ <br />SUPPRESSION_ <br />SYSTEM., <br />Chemical or Water <br />No. of Heads <br />ACKNOWLEDGEMENT., / 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 />Digitally signed by Aidan Wilson <br />AI��1 I WIISOI I`DN:cn=AidanWiilson,o,ou, PE T <br />email=Anvilson@Live.com, c=US <br />Date: 2019.07.12 09:25:06 -07'00' 11 /9/21 <br />Owner/Authorized Agent Signature Date (Revised 912312016) <br />Y2— <br />