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PERMIT APPLICATI <br /> 12 <br /> UILDIIAECHANICAL/PLUMBING/SIGPRINKLER/ DEMOLITION <br /> EVERETT CITY OF EVERETT PERMIT SERVICES BUILDING TENANT <br /> 3200 CEDAR STREET,EVERETT,WA 98201IMPROVEMENT - CANOPY <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:6617 Associated Blvd,Building B,Suite 100,Everett WA 98203 PROPERTY TAX#: <br /> LEGAL for new construction: Short Plat/subdivision n/a Lot No.n/a (attach copy of long legal description) <br /> CONTACT-INFORMATION <br /> OWNER NAME: LBA/PPF Industrial-Associated/West Valley,LLC(Ross Beckley) TENANT BUSINESS NAME(Commercial): Amazon <br /> OWNER MAILING ADDRESS: STREET 1 106 Shuksan Way <br /> my Everett STATE WA ziP 98203 <br /> OWNER PHONE: 206-812-6242 OWNER EMAIL:RBeckley@lbarealty.com <br /> CONTRACTOR NAME:Sierra Construction Company-Andy Bley <br /> CONTRACTOR ADDRESS: STREET 14800 NE North Woodinville Way <br /> CITY Woodinville STATE WA ZIP 98072 <br /> CONTRACTOR PHONE:425-487-5200 CONTRACTOR EMAIL:AndyB@sierraind.com <br /> CONTRACTOR LICENSE#(REQUIRED):CC SIERRCC145N8 CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 23366 <br /> PRIMARY CONTACT: ❑OWNER 0 CONTRACTOR 0 OTHER(Please Specify) MG2 Corporation (architects) <br /> CONTACT NAME: CONTACT PHONE:206-499-9537 <br /> Angela Balmer CONTACT EMAIL:angela.balmer@mg2.com <br /> BUILDING INFORMATION <br /> Existing Use of Building:S-1 with accessory office area of B-1 and A-3 Contract Price of Work:$1,100,000 <br /> Proposed Use of Building:s-1,S-2(indoor parking),with accessory office B-1 and A-3 Heat Source: EGas El 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: Facility will consist of half indoor parking, half delivery center. The delivery center will have line haul <br /> trucks unload product, where then employees will sort the packages and robotics/mobile carts will deliver to stations.The carts <br /> are wheeled to waiting vans on the load out side of the building. The bui ng will have accessory office space and break room. <br /> ASSOCIATED BUILDING PERMIT#(if applicable): . 1,0/ Ok` ei <br /> MECHANICAL PERMIT APPLICATION "LUMBING PERMI APPLICATION <br /> Fixture Fixture Fixture Fixture <br /> Count List of Fixtures Count List of Fixtures Count List of Fixtures Count List of Fixtures <br /> O A/C—Air Handling Units , 0 Gas Piping 0 Backflow Preventer(Inside Bldg) 0 Shower,Tub,or Combo <br /> O Boiler 0 Gas Range 0 Clothes Washer 0 Sink-Commercial(3-comp,prep,floor) <br /> O Clothes Dryer 0 Heat Pump&Ductless 0 Dishwasher 0 Sink-Residential(kitchen,bath,bar) <br /> 0 Duct System(Remodel) 0 Refrigeration 0 Drinking Fountain 0 Sink-Utility,laundry,mop <br /> 0 Exhaust Fans(Residential) 0 Commercial Ventilatior 0 Floor Drain 0 Toilet <br /> 0 Exhaust Hood(Type I) (Not Heat/AC system) 0 Hose Bibb 0 Urinal <br /> 0 Exhaust Hood(Type II) 0 Water Heater 0 Interceptor-Grease Waste/Water Piping Repair <br /> 0 Exhaust Hood(Residential) 0 Wood Stove 0 Interceptor-Sand/Oil Water Service(behind meter) <br /> 0 Forced Air Systems 0 Other: 0 Medical Gas Water Valves or Fixtures <br /> 0 Gas Fireplace/Insert/Log 0 Roof Drains 0 Water Heater <br /> SPRINKLER;I SUPPRESSION SYSTEM 0 Sewage Ejector or Sump Pump 0 Other: water dispenser <br /> Water Suppression System I No.of Heads U pressure reducing sta. <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 /> R�w-r City of Everett Official Use Only <br /> Angela Irvine Digitally <br /> �z signed by'A191151'O�a� PERI ja <br /> ` -6)S <br /> Owner/Authorized Agent Signature Date (Revised 10/10/2018) tl/�J� ` <br /> / a. <br />