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12 PERMIT APPLICATION <br /> 11 <br /> BUILDING ECHANICAL / PLUMBING / SIGN IVPRINKLER / 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:5901 23RD DR W, EVERETT WA 98203 PROPERTY TAX#:01118500000300 <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME: Marathon TENANT BUSINESS NAME(Commercial): ZAP ENERGY <br /> OWNER MAILING ADDRESS: STREET4932 NE 97th St \)I lt"1 3 j 6A-6.cl 0 <br /> cm, Seattle STATE WA zip 98115 <br /> OWNER PHONE: 206-734-8430 OWNER EMAIL:felix@zapenergyinc.com <br /> CONTRACTOR NAME:CENTURION HOME SERVICES LLC-Gabe Henderson <br /> CONTRACTOR ADDRESS: STREET 8121 132 PL SE <br /> CITY STATE STATE WA ZIP 98296 <br /> CONTRACTOR PHONE:425-351-3644 CONTRACTOR EMAIL:centurionhome@yahoo.com <br /> CONTRACTOR LICENSE#(REQUIRED):CENTUHS948MC CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): <br /> PRIMARY CONTACT: ❑OWNER ❑CONTRACTOR 0 OTHER(Please Specify) ARCHITECT <br /> CONTACT NAME: CONTACT PHONE:425-260-0413 <br /> KEIR VONDRUSKA CONTACT EMAIL:KVONDRUSKA@KVA-ARCH.COM <br /> BUILDING INFORMATION <br /> Existing Use of Building:El Contract Price of Work: $225,000 <br /> Proposed Use of Building:Ft Heat Source: OGas ❑Electric ❑Other <br /> BUILDING USE: ❑SFR LlTownhouse Duplex EADU ❑Multi-Family-#Units: ❑✓Commercial ❑Accessory Structure <br /> Type of Project: ❑New ❑Addition C�Remodel ❑Re air LJT.I. ❑Sin ❑S rinkler Demolition ❑Change of Use <br /> YP J P 9 P <br /> DESCRIPTION OF WORK: NEW TENANT IMPROVEMENT TO INCLUDE NEW FIRST AND SECOND FLOOR BUSINESS <br /> SPACE WITHIN THE EXISTING WAREHOUSE SPACE. NEW BEARING WALLS, NEW DOORS, NEW INSULATION <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> ' <br /> Fixture Fixture Fixture Fixture <br /> Count List of Fixtures Count List of Fixtures Count List of Fixtures Count List of Fixtures <br /> NC—Air Handling Units Gas Piping Backflow Preventer(Inside Bldg) 2 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 2 Floor Drain Toilet <br /> Exhaust Hood(Type I) (Not Heat/AC system) Hose Bibb Urinal <br /> Exhaust Hood(Type II) Water Heater Interceptor-Grease 2 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 1 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 /> PERMIT# <br /> �9W syeahrts.vmawa I�ZJ Lli Keii Vondniskabal.2020 1229 <br /> 2 <br /> Owner/Authorized Agent Signature Date (Revised 10/10/2018) <br />