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PERMIT APPLICAla <br /> BUILDING / MECHANICAL/ PLUMBING / SIGN / 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:3315 Seaway Blvd. PROPERTY TAX#:28040300400300 <br /> LEGAL for new construction: Short Plat/subdivision _ Lot No. (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME: SEAWAY WEST LLC TENANT BUSINESS NAME(Commercial): magrliX <br /> OWNER MAILING ADDRESS: STREET C/O JSH Properties Inc. 14900 Interurban Ave S#130 <br /> CITY Seattle STATE WA ZIP 98168 <br /> OWNER PHONE: 425-457-7456 OWNER EMAIL:kevink@jshproperties.com <br /> CONTRACTOR NAME:TBD a C Okta l. (A'to <br /> CONTRACTOR ADDRESS: STREET 7I7i 3 yT, ,Q-e <br /> CITY MOYV( STATEVij7t n ZIP L/ <br /> CONTRACTOR PHONE: CONTRACTOR EMAIL: <br /> CONTRACTOR LICENSE#(REQUIRED): CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): <br /> PRIMARY CONTACT: [DOWNER ❑ CONTRACTOR ❑OTHER(Please Specify) Agent(Weaver Architects) <br /> CONTACT NAME: CONTACT PHONE:206.262.9622 <br /> Paul Grundhoffer CONTACT EMAIL:paulg@weaverarch.com <br /> BUILDING INFORMATION <br /> Existing Use of Building:S-i (previously unoccupied,initial T.I.) Contract Price of. ork: $ ,,L SO _ } <br /> l� <br /> Proposed Use of Building:F-1 Heat Source: E %>as- ❑Electric ❑Other.— <br /> BUILDING USE: ❑SFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: ❑✓Commercial ❑Accessory Structure <br /> Type of Project: ❑New ElAddition ❑Remodel ❑Repair ✓❑T.l. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use <br /> DESCRIPTION OF WORK: Non-structural interior tenant improvement including new demising wall, restrooms, showersand-utH ty- <br /> $iflk3- <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 /> 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/InserULog 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 /> P IT�# <br /> 6/18/20 C.3CJlJ o( Lo <br /> Owner/Authorized Agent Signature Date (Revised 10/10/2018) <br /> /Z <br />