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PERMIT APPLICAT!n <br /> BUILDIIP/ MECHANICAL / PLUMBING / SIf SPRINKLER/ DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> OL 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 /> (Blue or Black Ink Only Please) PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS: 505 SE Everett Mall Way PROPERTY TAX#: <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME: Greentree Plaza 06 A, LLC TENANT NAME(If Commercial): Sportsman's Warehouse <br /> OWNER MAILING ADDRESS: STREET 12411 Ventura Blvd <br /> CITY Studio City STATE California ZIP 91604 <br /> OWNER PHONE: (81 8) 505-6777 OWNER EMAIL: <br /> CONTRACTOR NAME: Cameron Construction <br /> CONTRACTOR ADDRESS: STREET 573 West 3560 South <br /> CITY Salt Lake City STATE Utah ZIP 84115 <br /> CONTRACTOR PHONE: (801) 268-3584 CONTRACTOR EMAIL: CFeatherston @cameronconstructio <br /> CONTRACTOR LICENSE#(REQUIRED): Reg. CC UTAH CCC892J1 CITY OF EVERETT BUSINESS LICENSE#(REQUIR - <br /> PRIMARY CONTACT: ❑ OWNER ❑ CONTRACTOR EkOTHER(Please Specify) Architect _ <br /> CONTACT NAME: CONTACT PHONE: (801) 908-8818 <br /> Glenn W. Anderson CONTACT EMAIL: glenn@gaarch.com <br /> BUILDING PERMIT APPLICATION <br /> Existing Use of Building: Retail Contract Price of Work: $ 1,680,648.00 <br /> Proposed Use of Building: Retail Heat Source: ®Gas []Electric ❑Other <br /> Building Type: ❑SFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units: ®Commercial ❑Industrial <br /> Type of Project: El New ❑Addition ❑Remodel ❑Repair ®T.I. ❑Sign ❑Sprinkler ❑Demolition []Change of Use <br /> DESCRIPTION OF WORK: <br /> Tenant improvement of existing space to include all new interior finishes, new restrooms, breakroom, storage, offices, <br /> front canopy and mechanical units and electrical system. Modify loading dock. <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type of Project: New _ AddX Alteration _Repair Type of Project: _New _Addn Alteration 9Repair <br /> #of List Fixtures #of /IS <br /> of Fixtures #of List of Fixtures #of ist of Fixtures <br /> Fixtures Fixtures Fixtures Fixtures <br /> 6 A/C—Air Han ling Units 0 Heat Pump 5 Toilet 1 Per6kflow Preventer(Inside Bldg) <br /> 0 Forced Air Syst s Unit Heater 0 Bathtub 2 Urinal <br /> 8 Gas Piping 0 Boiler 5 Lavatory( Basin) Drinking Fountain <br /> 1 Water Heater 0 Refrigeration 0 Shower 4 Floor Drain <br /> 0 Gas Fireplace 0 Wood Stove 0 Kitchen Sink&Dispo 0 Grease Trap <br /> Gas Range Ducting 0 Dishwasher 0 Roof Drains <br /> 0 Clothes Dryer H96kups 0 Other: 0 Clothes Washer Medical Gas <br /> 0 Range Hood 1 Water Heater Other: <br /> 1 Exhaust Fa 1 Sink(Servic Bar/Mop/etc.) 0 Other: <br /> SPRINKLER/ SUPPRESSION SYSTEM <br /> B F.P.C. INumber of Heads <br /> ACKNOWLEDGEMENT: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 /> 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.1 am the owner,or I am authorized by the owner of this property to perform the work for which application is made, <br /> and 1 comply it the State Contractor L 18.27 RCW and 296.200A WAC. <br /> City of Everett Official Use Only <br /> November 23, 2016 PEIT� <br /> Ca caner/Authorized Ag Signature Date (Revised 91223/2016) <br />