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: PERMIT APPLICATION <br /> 11 <br /> BUILDINCAECHANICAL / PLUMBING / SIGNINKLER/ DEMOLITION <br /> EVERETT ``l_-_ 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.govl www.everettwa.gov/permits <br /> (Blue or Black Ink Only Please) PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS: 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): magniX <br /> OWNER MAILING ADDRESS: STREET CIO 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:Pattison General Contractor <br /> CONTRACTOR ADDRESS: STREET 15233 NE 90th Street, Suite 140 <br /> CITY Redmond STATE WA ZIP 98052 <br /> CONTRACTOR PHONE:425.497.8222 CONTRACTOR EMAIL:Andy Fortino<andyf@pattisongc.com> / <br /> CONTRACTOR LICENSE#(REQUIRED):PATTIGC917C7 CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 140‘;'(:) <br /> PRIMARY CONTACT: 0 OWNER 0 CONTRACTOR 0 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-1 (previously unoccupied,initial T.I.) Contract Price of Work: $ q CAIC') • 0 " <br /> Proposed Use of Building:F-1 Heat Source: EGas DElectric ❑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: Non-structural interior tenant improvement including free standing test rooms, and electrical revisions, <br /> electrical permit by others. <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 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 1 comply with the State Contractors Law 18.27 RCW and 296.200A WAC. <br /> ?t -7 - <br /> City of Everett Official Use Only <br /> PERMIT# ZI b ? —60 ( <br /> 7/29/21 <br /> Owner/Authorized Agent Signature Date (Revised 10/10/2018) <br /> n <br />