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PERMIT APPLICATION <br /> BUILDIN �IECHANICAL / PLUMBING / SIG� aRINKLER/ DEMOLITION <br /> CITY OF EVERETT PERMIT SERVI <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> (P)425-257-8810 � FAX 425-257-8857 � (E)everetteps@everettwa.gov� www.everettwa.gov/permits <br /> (Blue or Black Ink Only Please) PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS: 2 9 0 1 Ru c k e r Ave Eve r et t, WA 9 8 2 01 pROPeRTY T,4x#: 0 0 4 3 916 810 010 2 <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNERNAME: Skotdal Prime Properties TENANTNAME (IfCommercial): OPUS Bank <br /> OWNER MAILING ADDRESS: srReer PO BOx 52 67 <br /> cin Everett STATE WA ziP 98206 <br /> OWNERPHONE: �425) 252-5400 OWNEREMAIL: info@skotdal . com <br /> CONTRACTORNAME: Wo1fe Fire Protection <br /> CONTRACTOR ADDRESS: srREET 17 3 21 T ye S t S E <br /> a7v M o n r o e STATE t^7A ZiP 9 8 2 7 2 <br /> CONTRACTORPHONE: (360) 794-7926 CONTRACTOREMAIL: darrenw@wolfefp . com <br /> CONTRACTOR LICENSE#(RECIUIRED): WOLFEFP 9 O 6DD CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): <br /> PRIMARY CONTACT: ❑ OWNER ❑ CONTRACTOR ❑ OTHER(Please Specify) <br /> CONTACTNAME: Darren Wickman CONTACTPHONE: (425) 239-5566 <br /> CONTACT EMAIL: darrenw@wolfefp . Com <br /> BUILDING PERMIT APPLICATION <br /> Existing Use of Building: Contract Price of Work: $ 8� 8 0 0 . 0 0 <br /> Proposed Use of Building: Heat Source: ❑Gas ❑Electric ❑Other <br /> Building Type: ❑SFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units: �Commercial ❑Industrial <br /> Type of Project: ❑New ❑Addition L�Remodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use <br /> DESCRIPTION OF WORK: <br /> Existing office space, remodel tenant improvement relocating 13 sprinklers, <br /> adding 15 sprinklers heads for new reflected ceiling plan . <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 _Alteration _Repair <br /> #of List of Fixtures #�f List of Fixtures #of List of Fixtures #of List of Fixiures <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 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 coniained 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 O�cial before being authorized under any circumstance.I am the owner,or 1 am authorized by the owner of this property to perfo�m the work for which application is made, <br /> and 1 comply with the State Contractors Law 18.27 RCW and 296.200A WAC. <br /> City of Everett O�cial Use Only <br /> 7 PERMIT# <br /> I �� ` �� ��� ���� �. <br /> Owne orized A Signature ate (Revised 5/20/2016) <br />