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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 />ADDRESS: 1004 Broadway Avenue <br />LEGAL for new construction: Short PlaUsubdivi <br />OWNER koz 1004 Broadway, LLC <br />PROPERTY TAX # 29051700204700 pERMIT # <br />00385422101700 00385422101800 1��/�J/ <br />No. (attach copy of long legal description) <br />1 <br />Phone/E-mail (206) 755-1290, JOSH@KOZDEVELOPMENT.COM <br />; 1208 TENTH STREET, SUITE 201 ICity/State/Zip SNOHOMISH, WA 98290 <br />CANT: X Owner _ Owner'S Ag2f11 _ COIlYf2CtOf _ COf1Y�2CYOf S Ag@flt _ T0f12�[ (musi provide a letter of consent from the owner to do work in the spacc) <br />CONTRACTOR KIRTLEY COLE ASSOCIATES,�LLC <br />1010 SE EVERETT MALL WAY. EVERETT. WA 98208 <br />BUILDING PERMIT APPLICATION <br />Existing Use of Building SFR <br />State �ic. # I� I R-T L A G°I 5 I l� L City Bus. Lic. # ��Z �1(p Pj <br />(425) 609-0400, TNELSON@KIRTLEY-COLE.COM <br />Phone/Email <br />CONTACT FOR PERMIT <br />JOSHUA SCOTT <br />Phone/E-mail SAME AS OWNER ABOVE <br />CONTRACT PRICE OF WORK $6,000,000 <br />Proposed Use of Building STUDENT HOUSING � <br />Building type: , Single Family _ Duplex _Townhouse X Multi-Family � Commercial <br />Type of project: X New Addition Remodel Repair _ T.I. _ Sign _Sprinkle <br />DESCRIPTION OF WORK (additional space provided on the back) : <br />NEW 38,652 GSF, 120 ROOM STUDENT HOUSING PROJECT WITH ASSOCIATED SITE WORK. <br />DEMOLITION PERMIT HAS ALREADY BEEN GRANTED. <br />CURRENT PERMITTING STATUS SEPA 15-024, PLANNING DIRECTOR INTERPRETATION 15-003. <br />MECHANICAL PERMIT APPLICATION <br />of Project: _New _Addn _Alteration _Repair <br />Show Number (#) of fixtures <br />A/C — air handlin units <br />Forced air s stems <br />Gas i in <br />Water heater <br />Gas fire lace <br />Gas ran e <br />Clothes drve <br />Ex ust fan <br />eat pump <br />Unit heater <br />Boiler <br />Woodstove <br />� Other <br />SPRINKLER / SUPPRESSION SYSTEM <br />Number of Heads <br />HEAT SOURCE: <br />Electric Other <br />Chanpe of Use <br />PLUMBING PERMIT APPLICATION <br />Type of Project: _New _Addn _Alteration _Repair <br />Show Number (#) of fixtures <br />Toilet <br />Bathtub <br />Lavato wash basin <br />Shower <br />Kitchen sink & dis osal <br />Dishwasher <br />Clothes washer <br />Water heater, <br />Sink s ce/bar/mo /etc. <br />Ba�kfi(ow preventer (inside bldq <br />�rinal <br />Drinking Fountain <br />Floor drain <br />Grease trap <br />Roof drains <br />Medical Gas <br />Other: <br />Other: <br />I hereby certify that I have read and examined this applicalion and know the same to be true and correct. All provisions of laws and ordinances goveming this type of work will be comp <br />with whether specifed herein or nol The granting of a permit does not presume to give authonty to violale or cancel lhe provision of any other state or local law regulating conslruction <br />That I am auth rized by the own of this property to perform the work for which application is made and I comply with the State Conlractors Law 18.27 RCW and 296200A WAC. <br />� /s /� I � <br />Own r/ t orized Ag nt Signature Date (Revised 4/2015) <br />