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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 /> SITE ADDRESS: PROPERTY TAX# ERMIT <br /> 2502 COLBY AVE, EVERETT, WA 98201 00517156102900 1 (00 <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> CLERMONT HOLDINGS, LLC 1 (866)449-2691 JOSH@DSBINVESTMENTS.COM <br /> OWNER Phone/E-mail <br /> Address 95 SOUTH TOBIN STREET City/State/ZipRENTON, WA 98057 <br /> APPLICANT: Owner Owner's/Agent Contractor Contractor's Agent x TenanNAstprlvide able to of Insent from the owner to do work in the space) <br /> CONTRACTOR. 1'6V� IC(Ale) <br /> State Lic.# City Bus. Lic.# X5,156 <br /> Address Phone/Email <br /> TENANT BUSINESS NAME CONTACT FOR PERMITTHE DRIFTMIER ARCHITECTS <br /> QUALSTAR CREDIT UNION LEE DRIFTMIER <br /> 7983 LEARY WAY NE, REDMOND, WA 98052 <br /> Phone/E-mail 425-881-7506 lee@driftmier.com <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK ESTIMATE— $250, 000 <br /> Existing Use of Building BUSINESS: BRANCH AND EMPTY TENANT SPACE HEAT SOURCE: <br /> BUSINESS: BRANCH AND OFFICES <br /> Proposed Use of Building Gas x Electric Other <br /> Building type: Single Family Duplex Townhouse Multi-Family x Commercial <br /> Type of project: New Addition Remodel Repair x T.I. Sign Sprinkler Demolition Change of Use <br /> DESCRIPTION OF WORK(additional space provided on the back): <br /> REMODEL OF APPROX. 2,795 SF OF INTERIOR TENANT SPACE WITHIN AN EXISTING BUILDING. <br /> THE SCOPE INCLUDES DEMOLITION OF FLOORING, CASEWORK AND INTERIOR WALLS. NEW INTERIOR WALLS, FLOORING AND <br /> CASEWORK WILL BE BUILT. LIGHTING WILL BE RELOCATED AND NEW CONTROLS INSTALLED PER CODE. <br /> THE STOREFRONT WINDOWS ON THE THE EAST SIDE OF THE BUILDING WILL BE REPLACED. <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type of Project: _New Addn Alteration Repair Type of Project: _New Addn Alteration Repair <br /> Show Number(#)of fixtures Show Number(#)of fixtures <br /> NC—air handling units Toilet <br /> Forced air systems Bathtub <br /> Gas piping Lavatory(wash basin) <br /> Water heater Shower <br /> Gas fireplace Kitchen sink&disposal <br /> Gas range Dishwasher <br /> Clothes dryer Clothes washer <br /> Range hood Water heater <br /> Exhaust fan Sink(service/bar/mop/etc.) <br /> Heat pump Backflow preventer(inside bldg) <br /> Unit heater Urinal <br /> Boiler Drinking Fountain <br /> Refrigeration Floor drain <br /> Woodstove Grease trap <br /> Ducting Roof drains <br /> Other Medical Gas <br /> SPRINKLER / SUPPRESSION SYSTEM Other: <br /> Number of Heads Other: <br /> I hereby certify that I have read and examined this application and know the same to be true and correct.All provisions of laws and ordinances governing this type of work will be comp <br /> with whether specified herein or not.The granting of a permit does not presume to give authority to violate or cancel the provision of any other state or local law regulating construction `1 <br /> That I am authorized owner of this property to perform the work for which application is made and I comply with the State Contractors Law 18.27 RCW and 296.200A WAC. <br /> %-"t" , / <br /> Owner/A orized Agent Signature Date (Revised 4/2015) <br />