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From: • 09/ /2016 13:58 #300 P.001 /002 <br /> PERMIT APPLICATION <br /> BUILDING / MECHANICAL / PLUMBING/ SiGN /SPRINKLER/ DEiVIOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> (4L 3200 CEDAR STREET,EVERETT,WA 98201 <br /> (P)425-257-8810 1 FAX 425-257-8857 1(E)everetteps@everettwa.gov I www.everettwa.gov/permits <br /> (�Iue.gF Black,inkOnly,Pfease ,.,;�,,� . ,,,,.PROJECT SITE IW�QRMATION„:,, ,,= <br /> PROJECT SITE ADDRESS: 6623 Evergreen Way PROPERTY TAX#: <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> NFORMATfON�' t <br /> r nvr ,�t <br /> OWNER NAME: Unioin Bank TENANT NAME(If Commercial): <br /> OWNER MAULING ADDRESS: STREET <br /> cm STATE <br /> ZIP <br /> OWNER PHONE: OWNER EMAIL: <br /> CONTRACTOR NAME: Nations Roof Northwest, LLC <br /> CONTRACTOR ADDRESS: STREET 25514 74th Ave S <br /> cm Kent STATE WA ,98032 <br /> CONTRACTOR PHONE: 253-856-7763 CONTRACTOR EMAIL: tkaufmann@nationsroof.com <br /> CONTRACTOR LICENSE#(REQUIRED): NATIORN877PCITY OF EVERETT BUSINESS LICENSE#(FtEQi1tR <br /> PRIMARY CONTACT: Q OWNER ©CONTRACTOR ❑OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 612-500-0896 <br /> Chad Cahill CONTACT EMAIL: ccahill@nationsroof.com <br /> ”.BUILDI NG,:PEItMIT APP.ICATI s <br /> Existing Use of Buildin . retail bankWork• <br /> Contract Price f <br /> Cont $­8.31 0 <br /> Proposed Use of Building: Heat Source: EIGas.—- L1Electric []Other <br /> Building Type: ©SFR-Detached ❑SFR-Attached ❑Du lex 0Multi-Famll -#ofUnits: 1ICommercial ❑Industrial <br /> T e of Project: ❑New ❑Addition ORemodel ORe air T.I_ 13Si n ❑S rinkler ❑Demolition ❑Chan e of Use <br /> DESCRIPTION OF WORK: <br /> roof hatch installation <br /> ASSOCIATED BUILDING PERMIT# if applicable): <br /> MEC"AWICA114MRfM llT ADPL CATiON, r, ,,.r x' _..-. s.._ <br /> . ...,.,..; ,_.,. .. : PL�I <br /> MEINt;PERMITAPPL <br /> Type of Project: _New _ Addn _Alteration _Repair Type of Project. _New _Addn Alteration _Repair <br /> #of Us!of Fixtures #of #of #of <br /> Fixtures Fixtures Llst of Fixtures F/xtures Ust of Fixtures List of FixturesFixtures <br /> A/C—Air HandlingUnits Heat Pum Toilet Backflow Preventer Inside Bid <br /> Forced Air Systems Unit Heater Bathtub Urinal <br /> Gas Piping Boller Lavatoryash Basin DrinkingFountain <br /> Water Heater Refrigeration Shower Floor Drain <br /> Gas Fire lace Wood Stove Kitchen Sink&Disposal Grease Trap <br /> Gas Ranqe Ducting Dishwasher Roof Drains <br /> Clothes D er Hookups Other: Clothes Washer Medical Gas <br /> Range Hood Water Heater Other: <br /> Exhaust Fan Sink (Service/Bar/Mop/etc. Other: <br /> SRINI�LERJ`..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 conVy with <br /> current federal,state,end 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./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 96.27 RCW and 296.200A WAC_ <br /> City of Everett Oficial Use Only <br /> \ P T <br /> �T:1) Gb 9 0 <br /> Owner/Authorized Agent Signature Dat (Revised 5/20/2096) <br />