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� " � Print Form <br /> PERMIT APPLICATION <br /> BUILDING/MECHANICAL/PLUMBIf�G/SIGNISPRINKLER/DEMOLITION <br /> CITY OF EVERE fT PERMIT SERVICES <br /> 3200 Cedar St., Everett,WA 98201 •425-257-8810-FAX 425-257-8857 -www.evereY.wa.org <br /> APPLICATION5 ARE ACCEPTED FROM 8 AM TO 4 PM 3 �(�/�� <br /> RUPEN7YTAXN ERMI � <br /> 6617 Associated Blvd. 28040100303300 — C>Z <br /> L'cGAL�ur new conslmclion. S�otl PlaVsuDdiWsion___ Lot No._ (etlech wpy ol long�egel Eeaulption) <br /> OWNER��o CB Richard Ellis �none�E-mnil �53398-9034 _ <br /> nearess 20415 7hid Ave.South,Suire 210 Gtylslslelvn Kent WA,98032 <br /> CONTRACTOR TBD L 8 I Lic.# TBD <br /> Add�ess Phane/Bmail <br /> TENANT BUSINESS NAME CONTACT FOR PERMIT ' <br /> PODS pnonaie-maii�essica Brad�ey/Craft Archi[ects 206J20-7001 <br /> BUILDING PERMIT APPLICATION CONTRACT PHICE OF WORK g /O 0 O � <br /> Existing Uee of Building Vacant Warehouse HEAT SOURCE: <br /> Propased Use of Buildinp Office and Warehouse Gae ❑x Eladric Other ❑ <br /> Building type: �Single Family �Duplex nTownhouse yi MWIi•Femily �Commercial <br /> Type of proJeet: �Nmv �Addltl:+n �Remodel n Repalr II T.I.�,Slgn�SpNnkler O Demolillon�Changa ol Us� <br /> Descnption of Work(edai��me�speceprovide0on tne OecF): <br /> Tenant improvement consisting of new non-structural office space in existing warehouse bui�ding,dock door modification, <br /> miscellaneous warehouse upgrades. <br /> Have you sUrted working wllhout a permlt7 �YES �,NO <br /> MECNANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Typa ol Pro�xl: Naw Addn yy.ltentlon Rap�ir Typ�01 ProJoot: N�w ddn � AlUntlon Mp�lr <br /> ShowNumtwMJ olllxtuns SAowNumber � alll+turos <br /> WC—airhaMlin units Toilet <br /> ForceG air e atems Dathtub <br /> Gas i in Lavato (wash baeln <br /> Water heater Shower <br /> Gas Gra tace 1 Kitchen smk 8 dieposal <br /> Gas ran e Dishwasher <br /> Clothes Ar er Gothee weaher <br /> Ran e hood � Weter heater <br /> E■haust�an f�� Sink service/bar/mo letc.) <br /> He�t pumo Backflow reventer <br /> Unit heater Urinal <br /> Boiler Drinkin Founlain <br /> Reln e�at�on Floordrein <br /> Woodslove Grease Ire <br /> �uctin Rool drains <br /> Olher Mediwl Gas <br /> SPRINKLER I SUPPRESSION SYSTEM _ o�ner <br /> NumDa�al lleads <br /> I hareby cen�ry Ihal I have read and eaamined Ihis applica�ion znA hnow Ihe same�o be Ime arM correcl.All provisions ol laws B�U ordinences Boveming <br /> ll�is lype rk m I ba complieJ wilh whelhe�specifed heieln oi noL 1he gr�nling ol a purmd dae�nol prosume to pive out�orily lo viokte or cencel <br /> the pmvi ion 1 ai ol�er slale w local law regulalinp conslmclion or t�e pedormance al canstmction.T�el I em aulhodie0�y Ihe owner ol lhls propehy <br /> lo pedw th.w k� r ¢h eppncalian u meAe nnA I comply wilh Iho Slale Conlrar.tors Law 18.77 NCW anE 206100 WAC <br /> 2'2�Ownerl u . I g ture Dnl (ltevisetltt�10f0) <br /> ,.� � �� <br />