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MINK <br /> Bilt,DING PERMIT APPLICATION <br /> pp T T CITY OF EVERETT PERMIT SERVICES <br /> EVE R E i i�. SUBMITTAL INSTRUCTIONS:See appticabte submittal checklist for submittal requirements and number of copies required for review, <br /> WASNINGTON then drop off completed application plus all required submittal documents to 3200 Cedar Street 2nd Floor Intake Drop Box. <br /> CONTACT INFORMATION:(P)425.257.88101(E)everetteps@everettwa.gov 1(W)everettwa.gov/permits <br /> (blue or it lack 7k Only Please) PROJECT'. ATE <br /> PROJECT SITE ADDRESS: STREET ssee seaway Bred. PARCEL#: <br /> CnY Everett STATE WA zie 982131 <br /> i <br /> SUITE/UNIT#l: FLOOR#: ADDFTIONAL LOCATION INFORMATION(If applicable): <br /> TENANT/BUSINESS NAME(if non-residential):Fie Electronics Corp <br /> LEGAL DESCRIPTION for new construction: Short Ptat/sutxlvision: Lot No.: (attach copy of hung legat description) <br /> CONTACT INFORMATION <br /> f OWNER mm1E:Fluke Electronics Corp(contact Justin Simpson) <br /> OWNER MAILING ADDRESS: sineeT 6920 Seaway Blvd. <br /> ll <br /> Cny Everett STATE WA zu, 98203 <br /> OWNER PHONE:425-414=5069 (OWNER EMAIL: iustin.siingson@ffuke.com <br /> CONTRACTOR COMPANY NAME:Coffman Engineers,Inc.(NOT A CONTRACTOR) C9 W g\J E K <br /> •WA STATE CONTRACTOR LICENSE*REQUIRED): 'Ct'TIr OF E E T BUSINESS LICENSE*REQUIRED): , <br /> CONTRACTOR ADDRESS: su,r 1101 2nd Ave.Sty#400 <br /> CRY Seattle STATE WA ZV 98101 <br /> ,CONTRACTOR PHONE:512-731-8643 CONTRACTOR EMAIL:dave.gramkch@coffmart.com <br /> PRIMARY CONTACT: a OWNER C.CONTRACTOR RI OTHER(Please Specify) ri4neei <br /> CONTACT NAME: CONTACT PHONE:51;2-731 6eAS e. <br /> DaveGramlich CONTACT EMAIL dave_grainli&Ocoffiriancorrt <br /> BUILDING INFORMATION <br /> `VALUATION OF WORK:$5000 (ASSOCIATED LAND USE PROJECT#(if applicable): <br /> (Valuation shalt elude the preva8ng fah market value of aS mar,materials,and equipment needed sto complete the work,vsrreeser actually polder net_) <br /> `EXISTING USE OF BUILDING:Office and manufacturing f <br /> PROPOSED E OF'BI IIL'DlNG:nu'change <br /> NEAT SOURCE: ['Gas LE1ectric LiOti er " , <br /> BUILDING TYPE: [)SFR [Townhouse DOtiplex CADU! C Malti-Family-If Units: I JCommerciai [Accessory Structure <br /> !TYPE'OF PROJECT(check all that apply): nNew Construction OAddition []Rernodef []Repair Dr.!. [Change of Use <br /> DModtdar able Cite-root DExterior Alteration FIT e(above ground) [Accessory Structure <br /> [Fence over 7ft high fRackStorage CPool/Hot Tub. ETank(above ground) Other:° "` f°'' <br /> DESCRIPTION OF WORK: <br /> Coffman was asked to review the location of the existing door hold open devices Which ` <br /> - upon <br /> release fire alarm activation and determine.if they are code required.. it was , <br /> `� determined (as outlined in the letter)that the door holders are not code required;,and <br /> (r may,be decommissioned from.the Fire Alarm system: The purpose of this permit is to <br /> ` gain A3proval for such work The actual decommissioning will occur under a separate t <br /> fire alarr ciermit-(yet to be submitted) With additional fire alarm work. <br /> ACKNOWLEDGEMENT.I have reviewed this application and confirm the ktfonnationcontainedherein is true and act 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 Offcial before being authorized under anycircumstance.I am the owner,or?am authorized bythe owner of property to perform the work for which application is made, <br /> and-l-coin*, the Contra ors`: W and 296.200A'WAC. <br /> City of Everett Official C Only <br /> \..,! fl PERMIT# <br /> David Gremidch w ,v.-t.,.x. ,.....,„n„ 11!182. i 15 Z V l, ©o 7 <br /> ;,OwneifAtithorkeett Agent Signature ^Date (Revised 2/&'2021) <br /> )/? <br />