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PERMIT APPLICATION <br />BUILDING/MECHANICAL/PLUMBING/SIGN/SPRINKLER/DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everett, WA 98201 425-257-8810 FAX 425-257-8857 www.everettwa.org <br />� APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />SITE ADDRESS: R CG� � PROPERTY TAX # P�,RMIT #� �� �� <br />6001 Block of 36th Ave West 28040300400800 ��'j„� <br />fornewconstruction: ShortPlaUsubdivisionintermec BSP <br />tPanattoni Development Company <br />6840 Fort Dent Way Suite 350 <br />Owner _ Owner's Agent _ Contractor <br />Lot No. 2 (attach copy of long legal description) See Al -1 <br />Phone/E-mail 206-833-3846 / dbelk@panattoni.com <br />ICity/State/Zip Seattle, WA 98188 <br />COf1tf8CtOf's Agent X T2llallt (must provide a letter of consent from the owner to do work in lhe space) <br />CONTRACTOR Sierra Construction Company, Inc L& I Lic. #SIERRCC145N8 COE Bus. Lic. #23366 <br />Address19900 144th Ave NE, Woodinville, WA 98072 Phone/Email425-487-5200/dbelk@panattoni. om <br />Grun�a - alca Mission Foods Distribution Ceuter -�verett <br />+ Phone/E-mail 206 325 2553 / bfadden@lmueller.com <br />BtJILDING PERMIT APPLICATION CONTRACT PRICE OF WORK $ 420,000 <br />Existing Use of Building Existing New Shell Building HEAT SOURCE: <br />Proposed Use of Building L �� llist. Gas X Electric Other <br />Building type: _ Single Family _ Duplex _Townhouse _ Multi-Family X Commercial <br />Type of project: X New Addition Remodel Repair _ T.I. X Sign _Sprinkler _Demolition Change of Use <br />DESCRIPTION OF WORK (additional space provided on the back) : <br />�onstruction of a single story office with lunch room, restrooms, conference room and <br />�ssociated electrical,mechanical,plumbing,and Fire Protection systems. <br />o c�: I, 7L�1 i�' �'� rt r��� o u� : l<�� r c; � <br />, MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br />Type of Project: �New _Addn _Alteration _Repair <br />Show Number (#) of fixtures <br />A/C — air handling units <br />Forced air systems <br />Gas piping <br />Water heater <br />SPRINK <br />Exhaustfan <br />Heat pump <br />Unit heater <br />Boiler <br />Woodstove <br />Ducting <br />Other <br />/ SUPPRESSION SYSTEM <br />Number of Heads <br />Type of Project: X New _Addn _Alteration _Repair <br />Show Number (#) of fixtures <br />� Toilet <br />Lavatory (wash bas <br />Shower <br />Kitchen sink & disp� <br />Dishwasher <br />Clothes washer <br />Water heater <br />Sink (service/bar/m <br />Backflow preventer <br />Urinal <br />Drinking Fountain <br />Floor drain <br />Grease trap <br />Roof drains <br />Medical Gas <br />Other: <br />Other: <br />I hereby certify lhat I have read and examined ihis applicalion and know the same to be lrue and correct. All provisions of laws and ordinances governing lhis lype of work will be complied <br />with whether specifed herein or not. The granting of a permit does not presume to give authority to violate or cancel the provision of any other state or local law regulating construction <br />That I am authorized by lhe owner of lhis property to perform lhe work for which application is made and I comply with the State Contraclors Law 18.27 RCW and 296.200A WAC. <br />� `����--� <br />Owner/Authorized Agent Signature Date (Revised 6/2012) <br />I/� <br />