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PERMIT.APPLICATION— <br /> BUILDING/MECHANICAL/PLUMBING/SIGN /SPRINKLER/DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET,EVERETT,WA 98201 <br /> (P)425-257-8810 I FAX 425-257-8857 I(E)everetteps@everettwa.gov I www.everettwa.govlpermits <br /> (Bluff olr Bllack.:Inik Only Pleaa�a} . ... ., P,R JE SITE INFORMA'TION.., <br /> PROJECT SITE ADDRESS: 1118 80th Street SW PROPERTY TAX#: 28041200300300 <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> CQNTAGT 01FORMATKON. <br /> OWNER NAME: PEPSI BEVERAGES COMPANY TENANT NAME(If Commercial): N/A <br /> OWNER MAILING ADDRESS: sTes r 1 PEPSI WAY <br /> crry SOMERS STATE NY zp 10589 <br /> OWNER PHONE: 303-425-8236 OWNER EMAIL: TOM.SMITH2@PEPSICO.COM <br /> CONTRACTOR NAME: CHA TECH SERVICES, LLC <br /> CONTRACTOR ADDRESS: STREET 270 PEACHTREE STREET NW <br /> crry ATLANTA STATE GA ZIP 30303 <br /> CONTRACTOR PHONE: 678-954-5000 X240 CONTRACTOR EMAIL: DLUCAS a©CHATECHSERVICES.COM <br /> CONTRACTOR LICENSE#(REQUIRED): 602635133 o..,(-('1t}"T- SL f(O3jCITY OF EVERETT BUSINESS LICENSE#(REQUIRED) <br /> PRIMARY CONTACT: ❑OWNER 0 CONTRACTOR ®OTHER(Please Specify) ARCHITECT <br /> CONTACT NAME: DUSTIN SCHROUGHAM CONTACT PHONE: 317-780-7215 <br /> CONTACT EMAIL: DSCHROUGHAM@CHACOMPANIES.COM <br /> . BUILDINGG IP'E ,1` : ApPLIIOAflC <br /> Existing Use of Building: DISTRIBUTION CENTER Contract Price of Work:$ 230,000 <br /> Proposed Use of Building: DISTRIBUTION CENTER Heat Source: ❑Gas DElectric ❑Other N/A <br /> Building Type: ❑SFR-Detached ❑SFR-Attached ODuplex ❑Multi-Family-#of Units: ®Commercial ❑Industrial <br /> Type of Project: ❑New ❑Addition ®Remodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use <br /> DESCRIPTION OF WORK: Within existing warehouse,the installation of refrigeration support system for <br /> chilled beverages delivery units. Work includes pipe racking installation, <br /> concrete equipment pads, and bollards. <br /> ASSOCIATED BUILDING PERMIT#(if applicable): M 17 a ` 00[ <br /> MECHANICAL PERMIT APPLICATION PL MBlIN 3r PERMIIT 1PPLICATION <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 #°f 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 /> Si*Ok JER.!:SUOStiSSI[ON.SXSTEM <br /> Chemical or Water I No.of Heads <br /> ACKNOWLED e ENT: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,Ste=,and local law.The granting of a it only authorizes approved work and no deviations therefrom.Deviations must first be authorized in writing from the <br /> Building Official b= re being authorized under any ance.lam the owner,or l am authorized by the owner of this property to perform the work for which application is made, <br /> and!comply with e St:to .ntractors Law 18. • and 296.200A WAC. <br /> / City of Everett Official Use Only <br /> aor `.... PERMITo <br /> L bq-D( <br /> ,..4111410" . <br /> Owner/Authorized Agent Sign. re Date (Revised 9/23/2016) <br />