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PERMIT APPLICATION <br /> BUILDING.ECHANICAL / PLUMBING / SIGN /11FRINKLER/ 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 1(E)everetteps@everettwa.gov I www.everettwa.gov/permits <br /> (Blue or Black Ink Only Plse) PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS: 33$WEverett Mall Way PROPERTY TAX#:27032300407700 <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME: Sound Credit Union TENANT BUSINESS NAME(Commercial): <br /> OWNER MAILING ADDRESS: STREET3633 Pacific Avenue <br /> cnv Tacoma STATE WA ZIP 98418 <br /> OWNER PHONE: 253/:'•820 \ OWNER EMAIL:knix@soundcu.com <br /> CONTRACTOR N t� E: I C v (A4., 5 <br /> CONTRACTOR AD I1.ESS: /� STREET <br /> CITY STATE ZIP <br /> CONTRACTOR PHONE: CONTRACTOR EMAIL: <br /> CONTRACTOR LICENSE#(REQUIREDO UV — iC[, \.k ACCC1T�!OF EVERETT BUSINESS LICENSE#(REQUIRED):(2 <br /> PRIMARY CONTACT: El OWNER ❑CONTRACTOR El OTHER(Please Specify) JPC Architects <br /> CONTACT NAME: CONTACT PHONE:425.460.2370 <br /> Teresa Portman CONTACT EMAIL:teresap@jpcarchitects.com <br /> BUILDING INFORMATION <br /> Existing Use of Building: Business Contract Price of Work: $200,000 <br /> Proposed Use of Building:Business Heat Source: ❑Gas DElectric DOther <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: Remodel of existing credit union to include interior demolition, new walls, doors, millwork, and finishes. <br /> Also includes painting of existing metal roof. <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 /> NC—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 Ventilation 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: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 /> PERMIT � <br /> Teresa Portman �I t� Lk1 <br /> o•".�s=•e;v�roa�,�,.�,,.o.�=c,.�,�,a,.��c-.c�.:o,.�a=:-�, 10/13/20 <br /> Owner/Authorized Agent Signature Date (Revised 10/10/2018) r / <br /> Z <br />