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2615 BROADWAY QFC 2017-01-17
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2615 BROADWAY QFC 2017-01-17
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Last modified
1/17/2017 11:35:07 AM
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1/17/2017 11:35:05 AM
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Address Document
Street Name
BROADWAY
Street Number
2615
Tenant Name
QFC
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477- PERMIT APPLICATION <br /> BUILDING 1ECHANICAL / PLUMBING / SIGN ,RINKLER/ DEMOLITION <br /> CITY OF EVERETT PERMIT SERVIC <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.gov/permits <br /> (Blue or Black Ink Only Please) PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS: 2615 Broadway PROPERTY TAX#: 0003426 <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME: QFC #50853 TENANT NAME(If Commercial): QFC <br /> OWNER MAILING ADDRESS: STREET 1014-Vine Street <br /> criy Cincinnati STATE OH ZIP 45202 <br /> OWNER PHONE: OWNER EMAIL: <br /> CONTRACTOR NAME: Williams Mechanical Inc <br /> CONTRACTOR ADDRESS: STREET 3903 Smith Ave <br /> cil-v Everett STATE WA ZIP 98201 <br /> CONTRACTOR PHONE: (425) 303-0828 CONTRACTOR EMAIL: info@williams-mechanical . com <br /> CONTRACTOR LICENSE#(REQUIRED): WILL IMI 0 8 8 PA CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 026656 <br /> PRIMARY CONTACT: ❑ OWNER ® CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: Brad Williams CONTACT PHONE: (206) 391-0804 <br /> CONTACT EMAIL: brad@williams-mechanical . corn <br /> BUILDING PERMIT APPLICATION <br /> Existing Use of Building: Contract Price of Work: $ <br /> Proposed Use of Building: Heat Source: L3Gas ❑Electric ❑Other <br /> Building Type: ❑SFR-Detached ❑SFR-Attached ❑Duplex ❑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: <br /> Install Area Drain and Sludge drain for Compactor <br /> Install Pump basin for Area and Sludge Drain <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type of Project: _New _ Addn _Alteration _Repair Type of Project: _New _Addn X Alteration _Repair <br /> #of List of Fixtures #of List of Fixtures #of List of Fixtures #of 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 2 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 /> SPRINKLER/ SUPPRESSION SYSTEM <br /> Number 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 /> � g PERMI <br /> A I°,_ 9-6-2016 <br /> to <br /> ��CJ <br /> Owner/Authoriz-+ Agent Signature Date (Revised 5/20/2016) <br />
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