6201 ASSOCIATED BLVD COLUMBIA DISTRIBUTING 2018-04-23

• PERMIT APPLICATION• BUILDING / MECHANICAL/ PLUMBING / SIGN / SPRINKLER/ DEMOLITION CITY OF EVERETT PERMIT SERVICES OL 3200 CEDAR STREET, EVERETT,WA 98201 (P)425-257-8810 1 FAX 425-257-8857 1(E)everetteps@everettwa.gov I www.everettwa.gov/permits 6 PROJECT SITE INFORMATION PROJECT SITE ADDRESS: PROPERTY TAX#: 28040100303600 6201 ASSOCIATED BLVD EVERETT,WA 98203 LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: UNDERWOOD GARTLAND TENANT NAME(If Commercial): 19 1'1 h OWNER MAILING ADDRESS: STREET P.O.BOX 3513 CITY BELLEVUE STATE WA ZIP 98009 OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME: SMITH FIRE SYSTEMS CONTRACTOR ADDRESS: STREET 1106 54TH AVE EAST ,,Ty TACOMA STATE WA zip 98424 CONTRACTOR PHONE: 253-248-2003 CONTRACTOR EMAIL: BWOLF@SMITHFIRE.COM CONTRACTOR LICENSE#(REQUIRED): SMITHFS1360T CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 23577 PRIMARY CONTACT: ❑ OWNER M CONTRACTOR ❑ OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 253-248-2003 BILL WOLF CONTACT EMAIL: BWOLF@SMITHFIRE.COM BUILDING PERMIT APPLICATION Existing Use of Building: STORAGE Contract Price of Work:$_82,000 Proposed Use of Building: Heat Source: ❑Gas ❑Electric ❑Other Building Type: ❑SFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units: ®Commercial ❑Industrial Type of Project: ❑New ❑Addition ❑Remodel ❑Repair ElT.I. []Sign ®Sprinkler ❑Demolition []Change of Use DESCRIPTION OF WORK: MODIFY THE EXISTING SPRINKLER SYSTEM TO ACCOMIDATE THE NEW WALLS AND CEILINGS. ASSOCIATED BUILDING PERMIT#(if applicable): MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION Type of Project: ___New -__ Addn ___Alteration ___Repair Type of Project: __-New ___Addn Alteration ___Repair #of List of Fixtures #of List of Fixtures #of List of Fixtures #of List of Fixtures Fixtures Fixtures Fixtures Fixtures A/C-Air Handling Units Heat Pump Toilet Backflow Preventer(Inside Bldg) Forced Air Systems Unit Heater Bathtub Urinal Gas Piping Boiler Lavatory(Wash Basin) Drinking Fountain Water Heater Refrigeration Shower Floor Drain Gas Fireplace Wood Stove Kitchen Sink&Disposal Grease Trap Gas Range Ducting Dishwasher Roof Drains Clothes Dryer Hookups Other: Clothes Washer Medical Gas nge Hood Water Heater Other: Exh st Fan Sink(Service/Bar/Mop/etc.) Other: SPRIN ER/ SUPPRESSION SYSTEM 292 1 1 Number of Heads ACKNOWLEDGEM NT I have reviewed this application and confirm the information contained herein is true and correct. Work done pursuant to this permit must comply with current federal,s e,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 ,ding Offi before being authorized under any circumstance.1 am the owner,or 1 am authorized by the owner of this property to perform the work for which application is made, an mply with the State Contractors Law 18.27 RCW and 296.200A WAC. City of Everett Official Use Only 1 PERK _ 11-2-2016 Owner/Autfiorized Agent Signature Date (Revised T(/1 2015)