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• PERMIT APPLICATIOP. <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 � FAX 425-257-8857 �(E) everetteps@everettwa.gov � www.everettwa.gov/permits <br />�jCi PROJECT SITE INFORMATION <br />906 Everett Ma <br />for new construction: Short PlaUsubdivisi <br />PROPERTYTAX#: 28051800308500 <br />No. (attach copy of long legal description) <br />CONITACT INFORMATION <br />OWNER NAME: Pf ZUeg2Y'-EV2Y'ett Holdings LLCTENANT NAME (If Commercial): EXpY'2SS Employment <br />OWNERMAILINGADDRESS: srREEr c/o Colliers Int. , 601 Union St. $#5300 <br />cin. Seattle srnre WA zia 98101 <br />OWNER PHONE: 2 06 - 515 -44 94 OWNER EMAIL: heather . stark@coll iers . com <br />CONTRACTORNAME: Presidio Construction, Inc. <br />CONTRACTOR ADDRESS: srReer 116 E F i r, S t e. B <br />cin, MOurit Ve rnon sraTe WA ziP 9 8 2 7 3 <br />CONTRACTORPHONE: 360-336-3339 CONTRACTOREMAIL: edWiri@pY'2SiCiiOCOriSt.COiri <br />CONTRACTOR LICENSE #(REQUIRED): PRE S I C I 010 P 1 CITY OF EVERETT BUSINESS LICENSE #(REQUIRED): O 3 6 7 O 5 <br />PRIMARY CONTACT: ❑ OWNER C�CONTRACTOR ❑ OTHER (Please Specify) <br />CONTACT NAME: Ed Ol s en CONTACT PHONE: 3 6 0- 3 3 6- 3 3 3 9 <br />CONTACT EMAIL: edWin@preSidiOCOriSt . COm <br />BUILDING PERMIT APPLICATION <br />Existin Use of Buildin : BuS in2S S Contract Price of Work: $ ��-� �� <br />Proposed Use of Building: BuSineSS Heat Source: ❑Gas ❑Electric ❑Other <br />Buildin Type: ❑SFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Famil -# of Units: �ommercial ❑Industrial <br />T e of Pro ect: ❑New ❑Addition C�Remodel ❑Re air ❑T.I. ❑Si n ❑S rinkler ❑Demolition ❑Chan e of Use <br />DESCRIPTION OF WORK: ���,,� ��� /' liif�% + ��r' i�j c° iU �: /'�1 C I LL'C� ���%�/ � L�C� � GC�/�1��.> ►�-' <br />C J <br />-%i'u['��ff'%. <br />ASSOCIATED BUILDING PERMIT #(if a licable): <br />MECHANICAL PERMIT APPLICATION <br />Type of Project: _New _ Addn _Alteration _Repair <br />Fixtures List of Fixtures Fixtu es List of Fixtures <br />A/C -Air Handling Units Heat Pump <br />Forced Air S stems Unit Heater <br />Gas Piping Boiler <br />Water Heater Refrigeration <br />Gas Fireplace Wood Stove <br />Gas Ran e Ductin <br />Clothes D er Hooku s Other: <br />Ran e Hood <br />Exhaust Fan <br />SPRINKLER / SUPPRESSION SYSTEM <br />Number of Heads <br />PLUMBING PERMIT APPLICATION <br />Type of Project: _New _Addn Alteretion _Repair <br /># of List of Fixtures # of List of Fixtures <br />Fixiures Fixtures <br />Toilet Backflow Preventer (Inside Bld ) <br />Bathtub Urinal <br />Lavato (Wash Basin) Drinkin Fountain <br />Shower Floor Drain <br />Kitchen Sink & Disposal Grease Trap <br />Dishwasher Roof Drains <br />Clothes Washer Medical Gas <br />Water Heater Other: <br />Sink (Service /Mo /etc. Other: <br />ACKN LEDGEMENT: 1 have reviewed this application and confirm the information contained herein is true and comect. Work done pursuant to this permit must comply with <br />curre t federal, state, and local /aw. The granting of a permit only authorizes approved work and no deviations therefrom. Deviations must first be authorized in writing from the <br />Buii ng Officia/ before being authorized under any circumstance. I am the owner, or 1 am authorized by the owner of this property to perform the work for which application is made, <br />and m�r�h the State Contractors Law 18.27 RCW and 296.200A WAC. <br />Agent Signature <br />3/14/16 <br />Date <br />City of Everett Officral Use On/y <br />PERMIT # � � ��l �^ � <br />(Revised 10/12/2015) <br />L� <br />