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PERMIT APPLICATI <br /> BUILDIN.MECHANICAL/ PLUMBING /SIG,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:200 W MARINE VIEW DR, EVERETT, WA, 98201 _PROPERTY TAX#:29050700100300 <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME: LATTITUDE DEVELOPMENT LLC TENANT BUSINESS NAME(Commercial): <br /> OWNER MAILING ADDRESS: STREET PO Box 817 <br /> city AUBURN STATE WA ZIP 98017 <br /> OWNER PHONE: 425-466-7119 OWNER EMAIL:DAVE@DBROS.COM <br /> CONTRACTOR NAME:TBD <br /> CONTRACTOR ADDRESS: STREET TBD <br /> CITY TBD STATE TBD ZIP TBD <br /> CONTRACTOR PHONE:TBD CONTRACTOR EMAIL:TBD <br /> CONTRACTOR LICENSE#(REQUIRED):TBD CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): TBD <br /> PRIMARY CONTACT: ❑OWNER ❑CONTRACTOR ❑OTHER(Please Specify) NELSON (ARCHITECT) <br /> CONTACT NAME: CONTACT PHONE:206 408 8645 <br /> TODD SCHUTZ CONTACT EMAIL:TSCHUTZ@NELSONWW.COM <br /> BUILDING INFORMATION <br /> Existing Use of Building:NA Contract Price of Work:$10,000,000 <br /> Proposed Use of Building:WAREHOUSE Heat Source: CIGas ❑Electric DOther <br /> BUILDING USE: ❑SFR ❑Townhouse ❑Duplex ❑ADU ❑Multi Family-#Units: ['Commercial ['Accessory Structure <br /> Type of Project: 'New ['Addition ❑Remodel ['Repair ❑T.l. ['Sign OSprinkler ['Demolition ❑Change of Use <br /> DESCRIPTION OF WORK: CONSTRUCTION OF A NEW TILT-UP CONCRETE, SEMI-CONDITIONED SHELL BUILDING AND <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 /> NC—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/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 I comply with the State Contractors Law 18.27 RCW and 296.200A WAC. <br /> City of Everett Official Use Only <br /> / ior�orzo PER2&) ` K;3 <br /> Owner/Authorized Agent Signature Date (Revised 10/10/2018) <br /> /3, <br />