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PERMIT APPLIC_9T1014 <br /> MI BUILDING / MECHANICAL / Pl UMBING/SIGN / SPRINKL _/01/EM12ITION <br /> EVERETT _`_--CITY-0-F-EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVRET,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:71 1 west casino road PROPERTY TAX#: <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME: Colrich TENANT BUSINESS NAME(Commercial): 1/4' tf r <br /> OWNER MAILING ADDRESS: sTREET444 West Beech St. Suite 300 <br /> CITY San Diego STATE WA ZIP 92101 <br /> OWNER PHONE: 503-707-1895 OWNER EMAIL:blakee@Colrich.com <br /> CONTRACTOR NAME:AUtOmatiC Door & Gate <br /> CONTRACTOR ADDRESS: STREET4014 134th st NE <br /> CITY Marysville STATE WA ZIP 98271 <br /> CONTRACTOR PHONE:425-259-6559 CONTRACTOR EMAIL:jerryb@aUtOdoOrandgate.COm <br /> CONTRACTOR LICENSE#(REQUIRED):automdg995Ik CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): <br /> PRIMARY CONTACT: CI OWNER ❑ CONTRACTOR ❑OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: <br /> jerry CONTACT EMAIL:jerryb©autodoorandgate.com <br /> BUILDING INFORMATION <br /> Existing Use of Building: Contract Price of Work: $20,000.00 <br /> Proposed Use of Building: Heat Source: OGas ❑Electric ❑Other <br /> BUILDING USE: ❑SFR ❑Townhouse ❑Duplex ❑ADU E IMultI-Family-#Units: ❑Commercial ❑Accessory Structure <br /> Type of Project: ❑New ❑Addition ❑Remodel El Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use <br /> DESCRIPTION OF WORK: replace gate operating equipment with new barrier arm gates to control parking stalls <br /> ASSOCIATED BUILDING PERMIT#(if applicable): 71: 1 2-01;5?' <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: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 /> --'� PE Rp01,1t 2_0 <br /> O/� /Z <br /> Owner/Authorized Agent Signature Date (Revised 10/10/2018) <br /> Z <br />