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0 PERMIT APPLICATION• <br /> BUILDING / MECHANICAL/ PLUMBING /SIGN / SPRINKLER/ DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 4Z7r 3200 CEDAR STREET,EVERETT,WA 98201 <br /> (P)425-257-8810 1 FAX 425-257-8857 1(E)everefteps@everettwa.gov I www.everettwa.gov/permits <br /> (Blue or Black Ink Only Please) PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS: 1001 Z 1 st DR. SE, Everett, WA 98208 PROPERTY TAX#: 00396900003000/ 0067116 <br /> LEGAL for new construction: Short Plat/subdivision NA Lot No.NA (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME: JPMorgan Chase Bank, N.A. TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: STREET 1111 Polaris Pkwy <br /> CITY Columbus STATE OH zip 43240 <br /> OWNER PHONE: 813-584-3762 OWNER EMAIL: NA <br /> CONTRACTOR NAME: Lee Build Construction Co- Cross Brothers Inc. <br /> CONTRACTOR ADDRESS: STREET PO BOX 25557 <br /> CITY EUGENE STATE OR zip 97402-0457 <br /> CONTRACTOR PHONE: 541-688-2042 CONTRACTOR EMAIL: ann@leebuilt.com <br /> CONTRACTOR LICENSE#(REQUIRED): 602 246 946 CITY OF EVERETT BUSINESS LICENSE#(REQUIRED):TBE <br /> PRIMARY CONTACT: ❑OWNER ❑CONTRACTOR ZI OTHER(Please Specify) Stantec Architecture Inc. <br /> CONTACT NAME: CONTACT PHONE: 425-289-7339 <br /> Julie Croasdell CONTACT EMAIL:julie.croasdell@stantec.com <br /> BUILDING PERMIT APPLICATION <br /> Existing Use of Building: Business Group B Contract Price of Work: $42,185.00 <br /> Proposed Use of Building:(Existing, no change) Heat Source: ❑Gas ❑Electric ❑Other NA <br /> Building Type: ❑SFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units: OCommercial ❑Industrial <br /> Type of Project: ❑New ❑Addition ❑Remodel ❑Repair ❑T.I. []Sign ❑Sprinkler ❑Demolition ❑Change of Use <br /> DESCRIPTION OF WORK: <br /> The scope of work includes:relocating accessible parking stalls,removing and replacing a portion of the existing asphalt at the new location of the <br /> accessible parking stalls,re-striping the accessible parking spaces,installing signage for the accessible parking stalls,removing and replacing a portion of the <br /> existing concrete sidewalk adjacent to the branch entrance,adjustments to door hardware,and providing required accessibility signage. <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 #of List of Fixtures #of List of Fixtures #of List of Fixtures <br /> Fixtures Fixtures Fixtures Fixtures <br /> NA A/C—Air Handling Units NA Heat Pump NA Toilet NA Backflow Preventer(Inside Bldg) <br /> NA Forced Air Systems NA Unit Heater NA Bathtub NA Urinal <br /> NA Gas Piping NA Boiler NA Lavatory(Wash Basin) NA Drinking Fountain <br /> A Water Heater NA Refrigeration NA Shower NA Floor Drain <br /> NA Gas Fireplace NA Wood Stove AN Kitchen Sink&Disposal NA Grease Trap <br /> NA Gas Range NA Ducting NA Dishwasher NA Roof Drains <br /> NA Clothes Dryer Hookups NA Other: NA Clothes Washer NA Medical Gas <br /> NA Range Hood NA Water Heater NA Other: <br /> NA Exhaust Fan NA Sink(Service/Bar/Mop/etc.) Other: <br /> NA <br /> SPRINKLER/ SUPPRESSION SYSTEM <br /> NA I Number 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 l comply with the State Contractors Law 18.27 RCW and 296.200A WAC. <br /> City of Everett Official Use Only <br /> L c.� <br /> r� U <br /> 01/20/2017 PERMIT# '1 b `• �� 1 <br /> Owner/Authorized Agent Signature Date (Revised 9/23/2016) ,W' - <br /> 0� <br />