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PERMIT APPLI ' 1*L- ' <br /> /I 1 4� BUILDINGWIECHANICAL/ PLUMB ' e / SIGN 'j NKLER/ DEMOLITION <br /> CITY OF EVERETT . - IT SERVIC <br /> 3200 CEDAR STREET,E 98201 <br /> (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: 1135 Craftsman Way PROPERTY TAX#:c?9O5./ 9O/ 002(ro( <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> CONTACT"INFORMATION-- <br /> OWNER NAME: Port of Everett TENANT NAME(If Commercial): Same <br /> OWNER MAILING ADDRESS: STREET 1135 Craftsman Way <br /> cm' Everett STATE WA ZIP 98201 <br /> OWNER PHONE: OWNER EMAIL: <br /> CONTRACTOR NAME: TubeArt 1,5p" S Zij ci <br /> CONTRACTOR ADDRESS: STREET 11715 SE 5th ST <br /> CITY Bellevue STATE WA ZIP 98005 <br /> CONTRACTOR PHONE: 206 679 8732 CONTRACTOR EMAIL: shawnb@tubeart.com <br /> CONTRACTOR LICENSE#(REQUIRED): TUBEAD*311 QS CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 6667 <br /> PRIMARY CONTACT: 0 OWNER Ig CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 206 679 8732 <br /> Shawn Bowen CONTACT EMAIL: shawnb@tubeart.com <br /> BUILDING PERMIT APPLICATION <br /> Existing Use of Building: Contract Price of Work:$ 5000.00 <br /> Proposed Use of Building: Heat Source: OGas ❑Electric ❑Other <br /> Building Type: ❑SFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units: ICommercial ❑Industrial <br /> Type of Project: 8New ❑Addition El Remodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition El Change of Use <br /> DESCRIPTION OF WORK: <br /> install 2 wall signs <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type of Project: _New _ Addn _Alteration _Repair Type of Project: _New _Addn _Alteration _Repair <br /> #of List of Fixtures #of List of Fixtures #of List of Fixtures #of List of Fixtures <br /> Fixtures Fixtures Fixtures Fixtures <br /> A/C—Air Handling Units Heat Pump Toilet Backflow Preventer(Inside Bldg) <br /> Forced Air Systems Unit Heater Bathtub Urinal <br /> Gas Piping Boiler Lavatory(Wash Basin) Drinking Fountain <br /> Water Heater Refrigeration Shower Floor Drain <br /> Gas Fireplace Wood Stove Kitchen Sink&Disposal Grease Trap <br /> Gas Range Ducting Dishwasher Roof Drains <br /> Clothes Dryer Hookups Other: Clothes Washer Medical Gas <br /> Range Hood Water Heater Other: <br /> Exhaust Fan Sink(Service/Bar/Mop/etc.) Other: <br /> SPRINKLER/'SUPPRESSION SYSTEM <br /> 'Chemical or Water I 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 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 /> 9/16/2022 PERMIT# 5, o o 0 7--- <br /> Owner/Authorized Agent Signature Date (Revised 9/23/2016) , I i <br />