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Iii OLT PERMIT APPLICATION <br /> BUILDIN! /MECHANICAL / PLUMBING / SIGN / SPRINKLER / DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <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 /> PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS: 6301 36th Avenue W PROPERTY TAX#: <br /> Powder Mill Business Center, Building A 28040300400800 <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME: Panattoni Development Inc. TENANT NAME(If Commercial): Flowers Baking <br /> OWNER MAILING ADDRESS: STREET 6840 Fort Dent Way, Suite 350 <br /> Dry Seattle STATE WA ZIP 98188 <br /> OWNER PHONE: 206-838-3847_ OWNER EMAIL: DBelk@panattoni.com <br /> CONTRACTOR NAME: .T-fi84 /// / . G/ <br /> CONTRACTOR ADDRESS: STREET <br /> CITY STATE ZIP <br /> CONTRACTOR PHONE: CONTRACTOR EMAIL: <br /> CONTRACTOR LICENSE#(REQUIRED): CITY OF EVERETT BUSINESS LICENSE#(REQUIRED):.f- <br /> PRIMARY CONTACT: ❑OWNER 0 CONTRACTOR El OTHER(Please Specify) Authorized Agent <br /> CONTACT NAME: SynThesis PLLC -John Llacuna CONTACT PHONE: 425-646-1818 <br /> CONTACT EMAIL: john.Ilacuna@SynthesispllC.Com <br /> BUILDING PERMIT APPLICATION <br /> Existing Use of Building: Business/Storage/Manufacturing Contract Price of Work: $ $142,000 <br /> Proposed Use of Building: Business/Storage Heat Source: IX-1Gas DElectric DOther <br /> Building Type: DSFR-Detached ❑SFR-Attached ❑Duplex DMulti-Family-#of Units: ❑Commercial ®Industrial <br /> Type of Project: ❑New DAddition DRemodel DRepair IT.l. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use <br /> DESCRIPTION OF WORK: <br /> Tenant Improvement to existing shell shall include: Installation of new demising wall, Toilet Rooms and Offices. <br /> Goaae hot-Lk- space <br /> ASSOCIATED BUILDING PERMIT#(if applicable): Building A Shell Permit -7.Q01-6'0 W'vCO• rye r >'<_, G?FJ�'�i Chi< _ /:0) <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type of Project: _New Addn _Alteration Repair Type of Project: New Addn Alteration Repair <br /> #of #of <br /> List of Fixtures #of List of Fixtures #of List of Fixtures List of Fixtures <br /> Fixtures Fixtures Fixtures Fixtures <br /> NC—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 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 /> A _ PERMIT# <br /> -T7 it- <br /> Owper/Authorized Agent Signature Date (Revised 10/12/2015) <br /> ITh <br />