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0 PERMIT APPLICATION 0 <br /> BUILDING / MECHANICAL/ PLUMBING / SIGN / SPRINKLER/ DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> OL (P)425-257-8810 1 FAX 425-257-8857 I (E)everetteps@everettwa.gov I www,everettwa.gov/permits <br /> (Blue or Black Ink Only Please) PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS: 6201 Associated Blvd Ste 102 PROPERTY TAX#: 28040100303600 <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME: Underwood Gartland Everett, LLC TENANT NAME(If Commercial): Columbia Distributing <br /> OWNER MAILING ADDRESS: STREET PO Box 3513 <br /> crrr Bellevue STATE WA zip 98203 <br /> OWNER PHONE: 425.881.2113 OWNER EMAIL: david@ug-dev.com <br /> CONTRACTOR NAME: Foushee and Associates <br /> CONTRACTOR ADDRESS: STREET 3260 118th Ave SE <br /> crry Bellevue STATE WA zip 98009 <br /> CONTRACTOR PHONE: 425.746.1000 CONTRACTOR EMAIL: dgroth@foushee.com <br /> CONTRACTOR LICENSE#(REQUIRED): FOUSHAC1580D CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 024790 <br /> PRIMARY CONTACT: ❑OWNER ❑CONTRACTOR E)(OTHER(Please Specify) SVnThesis ArchitPCtc PI I C <br /> CONTACT NAME: CONTACT PHONE: 425.646.1818 <br /> Tom Deering CONTACT EMAIL: tom.deering@synthesispllc.com <br /> BUILDING PERMIT APPLICATION <br /> a <br /> Existing Use of Building: New Construction Contract Price of Work: $I—IMNIINIM ODd <br /> Proposed Use of Building: Beverage Distribution and Warehousing Heat Source: []Gas []Electric ❑Other <br /> Building Type: ❑SFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units: IRCommercial ❑Industrial <br /> Type of Project: ❑New ❑Addition ❑Remodel ❑Repair I4T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use <br /> DESCRIPTION OF WORK: <br /> Tenant improvement to include steel mezzanine, partitions and finishes for new office, restrooms, stairs and elevator <br /> and warehouse offices. Tw5 epy."l iS -�or <br /> ASSOCIATED BUILDING PERMIT#(if applicable): B1604-029 <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 #of List of Fixtures #of List of Fixtures #of List of Fixtures <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 /> ACKNO EDGMENT 1 have reviewed this application and confirm the information contained herein is true and correct. Work done pursuant to this permit must comply with <br /> curre f deral, --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 /> Bulini Offici 1 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 /> omply ith th State Contractors Law 18 27 ROW and 296.200A WAC <br /> City of Everett Official Use Only <br /> PERMITA /� <br /> andy B own 09/14/2016 V <br /> wner/Auth rized Agent Signature Date (Revised 5/20/2016) / <br />