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0 • <br /> IMI PERMIT APPLICATION <br /> BUILDING/MECHANICAL/ PLUMBING /SIGN 1 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:3430 16th St. PROPERTY TAX#:29051700402700 <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME: Gary Baldwin TENANT BUSINESS NAME(Commercial): Washington Marine Cleaning <br /> OWNER MAILING ADDRESS: sTREET3430 16th St. <br /> CITY Everett STATE WA zip 98201 <br /> OWNER PHONE:4253178298 OWNER EMAIL:gary@washmarine,com <br /> CONTRACTOR NAME:Gary Baldwin <br /> CONTRACTOR ADDRESS: STREET3430 16th St. <br /> C,n Everett STATE WA zip 98201 <br /> CONTRACTOR PHONE:425 317 8298 CONTRACTOR EMAIL:garya@WaShmarine.COm <br /> CONTRACTOR LICENSE#(REQUIRED): CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): <br /> PRIMARY CONTACT: EJ OWNER 0 CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE:425 317 8298 <br /> Gary Baldwin CONTACT EMAIL:gary@washmarine.com <br /> BUILDING INFORMATION <br /> Existing Use of Building:Warehouse Contract Price of Work:$83,230.00 <br /> Proposed Use of Building:Warehouse Heat Source: OGas DElectric ❑Other <br /> BUILDING USE: ❑SFR ❑Townhouse ❑Duplex DADU ❑Multi-Family-#Units: ❑✓Commercial ❑Accessory Structure <br /> Type of Project: ❑New ❑✓Addition ❑Remodel ❑Repair ❑T.I. ❑Sign LiSprinkler ❑Demolition ❑Change of Use <br /> DESCRIPTION OF WORK: Create 550 square foot water analysis Laboratory <br /> 1 \ <br /> ASSOCIATED BUILDING PERMIT#(if appli.- <br /> . 45-erch. ! <br /> MECHANICAL PERMIT +• CA ► • PLUMBING PERMIT APPLICATION <br /> • Fixture /�� �} tura Fixture Fixture <br /> Count List of Fixtures 1 ly count List fixtures Count List of Fixtures Count List of Fixtures <br /> A/C—kir Handling Units / G.•''iping Backflow Preventer(Inside Bldg) Shower,Tub,or Combo <br /> Boiler as Range Clothes Washer Sink-Commercial(3-comp,prep,tloor) <br /> Clothes Dryer 1 Heat Pump&Ductless 1 Dishwasher Sink-Residential(kitchen,bath,bar) <br /> Duct System(Rem••el) Refrigeration Drinking Fountain 1 Sink-Utility,laundry,mop <br /> Exhaust Fans(Residen . Commercial Ventilation Floor Drain Toilet <br /> Exhaust Hood(Type I) 4 (Not Heat/AC system) Hose Bibb Urinal <br /> Exhaust Hood(Type Water Heater Interceptor-Grease Waste/Water Piping Repair <br /> Exhaust Hood(R Idential) ':.d Stove Interceptor-Sand/Oil Water Service(behind meter) <br /> Forced Air Sys ms Other: Medical Gas Water Valves or Fixtures <br /> Gas Firepla /Insert/Log Roof Drains 1 Water Healer <br /> SPRIN . ER/SUPPRESSION SYSTEM Sewage Ejector or Sump Pump Other: <br /> Water Suppress! System No.of Heads <br /> Chemical Sup ession 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 comp with the State Contractors Law 8.27 RCW and 296.200A WAC. <br /> City of Everett Official Use Only <br /> j PERMI I <br /> �I.4 ai /Ai 09-21-20 l�J�`� <br /> r r!•uthor A.-nt .ign.�ure Date (Revised 10/10/2018) <br />