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MIN <br /> • PERMIT APPLICATION• <br /> ila <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:906 Everett Mall Way, Everett Wa. 98208 Suite 210 PROPERTY TAX#: <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME: Childstrive TENANT BUSINESS NAME(Commercial): L L Aj4 U <br /> OWNER MAILING ADDRESS: STREET906 Everett Mall way <br /> crry Everett STATE wa ZIP 98208 <br /> OWNER PHONE: OWNER EMAIL: <br /> CONTRACTOR NAME:Commercial Office Interiors <br /> CONTRACTOR ADDRESS: STREET 300 Elliot ave West Suite 300 <br /> ciTv Seattle STATE WA ZIP 98119 <br /> CONTRACTOR PHONE:206-963-6302 R .N�CONTRACTOR EMAIL:aspiegel@coiseattle.com _ <br /> CONTRACTOR LICENSE#(REQUIRI COmYYICCT 334 CITY OF EVERETT BUSINESS LICENSE#(REQUIRE • S'� S6 <br /> PRIMARY CONTACT: ❑OWNER 0 CONTRACTOR 0 OTHER(Please Specify) -/ <br /> CONTACT NAME: CONTACT PHONE:206-963-6302 <br /> Andreas Spiegel CONTACT EMAIL:aspiegel@coiseattle.com <br /> BUILDING INFORMATION <br /> Existing Use of Building:Commercial Contract Price of Work:$20,000 <br /> Proposed Use of Building:Commercial Heat Source: ❑Gas ❑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: Adding floor to ceiling demountable walls for private offices. Need seismic inspection. <br /> 7 <br /> ASSOCIATED BUILDING PERMIT#(if applicable B1908-049 <br /> MECHANICAL PERMIT APPLICATT 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 I No.of Heads <br /> Chemical Suppression System 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 /> PERMIptei I 1 010 <br /> Andreas Spiegel ,,,,, oo,, ,,Z -••-•- •.ra,_.•-• • 11/4/19 <br /> Owner/Authorized Agent Signature Date (Revised 10/10/2018) <br />