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0 PERMIT APPLICATIO116 <br />BUILDING / MECHANICAL / PLUMBING / SIGN / SPRINKLER / DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />EVERETT 3200 CEDAR STREET, EVERETT, WA 98201 <br />WASHINGTON (P) 425-257-8810 1 FAX 425-257-8657 1 (E) everetteps0everettwa.rjov I WWW,everettWa,qOV/DermrtS <br />P <br />akW leas* Pft� INOORM "m <br />PROJECT SITE ADDRESS: 215 SW Everett Mall Way, Everett WA, 98204 PROPERTY TAX 28042400102200, 28042400102300 <br />LEGAL for new construction: Short PIaU'subdivisionNo. (attach copy of long legal description) <br />CONT CT4"f ORMATION <br />OWNER NAME: Mark Leibold TENANT BUSINESS NAME (Commercial): Everett Powersports Inc, <br />OWNER MAILING ADDRESS: STREET215 SW Everett Mall Way <br />CITY Everett STA-EWA z,, 98204 <br />OWNER PHONE: 4253474545 ]OWNER <br />EMAIL:mIeibold@evereftpowersports.com <br />CONTRACTOR NAME:Tenant Owner - Everett Powersports Inc. <br />CONTRACTOR ADDRESS: SIREET215 SW Everett Mall Way <br />CITY Everett STATE WA zip 98204 <br />CONTRACTOR PHONE- 425 3474545 <br />1CONTRACTOR EMAIL:'Mleibold@everettpowersports.com <br />CONTRACTOR LICENSE #(REQUIRED):Tenant Owner <br />ICITY OF EVERETT BUSINESS LICENSE #(REQUIRED): 14720 <br />PRIMARY CONTACT: [D OWNER El CONTRACTOR 13 OTHER (Please Specify) <br />CONTACT NAME: <br />Mark Leibold <br />CONTACT PHONE: 42 534 74545 <br />CONTACT EMAIL: mleibold@everettpowersports.com <br />BUILDINS INFORMATION <br />Existing Use of Building: Warehouse 1contract <br />Price of Work: $.2,000 <br />Proposed Use of Building Storage lHeat <br />Source: OGas ©Electric 1210therWaste Oil Furnace <br />BUILDING USE: 13SFR ElTownhouse E]Duplex OADU ElMulti-Family - ft Units: ZComrnercial EjAccessory Structure <br />Type of Project: L�New ElAddition ZRernodel EIRepair LJT,I. OSign "r—Sprinkler LDemolition 1L'jChanqe of Use <br />DESCRIPTION OF WORK: <br />Installation of Shendoah waste oil furnace, 150 BTU <br />1ASSOCIATED BUILDING PERMIT # if aLEIicable): <br />MECHANICAL <br />PERMIT <br />APPLICATION <br />PLUMBING PERMIT <br />APPLICATION <br />Fixture <br />Count <br />List of Fixtures <br />Fixture <br />count <br />List of Fixtures <br />Fixture <br />Count <br />List of Fixtures <br />Fixture <br />Count <br />List of Fixtures <br />A/C - Air Handling Units <br />Gas Piping <br />Backfiow Preventer (inside Bldg) <br />Shower, Tub, or Combo <br />Boiler <br />Gas Range <br />Clothes Washer <br />Sink -Commercial (3-comp,prep,!Ioor) <br />Clothes Dryer <br />Heat Pump&Ductless <br />Dishwasher <br />Sink -Residential (kitchen, bath, bar) <br />Duct System (Remodel) <br />Refrigeration <br />Drinking Fountain <br />Sink -Utility, laundry, mop <br />Exhaust Fans (Residential) <br />Commercial Ventilatior <br />(Not Heat/AC system) <br />I Floor Drain <br />Toilet <br />Exhaust Hood (Type 1) <br />[Hose Bibb <br />Urinal <br />Exhaust Hood (Type 11) <br />Water Heater <br />Interceptor -Grease <br />Waste/Water Piping Repair <br />Exhaust Hood (Residential) <br />Wood Stove <br />Interceptor-Sand/Oil <br />Water Service (behind meter) <br />Forced Air Systems <br />Other OTF—u rn a ce <br />Medical Gas <br />Water Valves or Fixtures <br />Gas Fireplace/Insert/Log <br />Roof Drains <br />Water Heater <br />BURIN y STROM <br />778ter' Suppression System INo, of Heads <br />Sewage Ejector or Sump Pump <br />Other <br />Chemical Suppression System <br />INo. 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 pam7it only authorizes approved work and no deviations therefrom. Deviations must first be authorized in writing from file <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 wittqhe State Contractors Low 18.27 RCW and 296.200A INA C <br />Agent <br />10/2212019 <br />Date <br />City of Everett Official Use Only <br />PERMIT # <br />(Revised 1011012018) <br />