6000 23RD DR W TEAGUE 2017-10-30

PERMIT APPLICATION BUILDING4ECHANICAL/PLUMBING/SIGN ARINKLER/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 PROJECT SITE INFORMATION PROJECT SITE ADDRESS: PROPERTY TAX#: 6000 23rd Drive, Everett,WA 98203 28040200301800 LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME:Nicholson Machine &Tech TENANT NAME(If Commercial):Teague OWNER MAILING ADDRESS: STREET200 S. Orcas St c TYSeattle STATEWA zip98108 OWNER PHONE: 425-931-4901 OWNER EMAIL:dgauntlett@teague.com CONTRACTOR NAME Northwest Handling Systems CONTRACTOR ADDRESS: STREET1100 SW 7th St c TrRenton sTATEWA zip 9805 CONTRACTOR PHONE: 425-919-3597 CONTRACTOR EMAIL: neilm@nwhs.com CONTRACTOR LICENSE#(REQUIRED): NORTHWH275JF CITY OF EVERETT BUSINESS LICENSE#(REQUI D):011598 PRIMARY CONTACT: ❑ OWNER 0 CONTRACTOR ❑ OTHER (Please Specify) CONTACT NAME: CONTACT PHONE:425-919-3597 Neil Montague CONTACT EMAIL:neilm@nwhs.co BUILDINGPERMIT APPLICATION Existing Use of Building:warehouSe Contract Price of W rk: $ 7 150.00 Proposed Use of Building:warehouse Heat Source: ❑G E]ElectriV ❑Other Building Type: ❑SFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units: UlCommercial ❑Industrial Type of Project: ❑New ❑Addition []Remodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition []Change of Use DESCRIPTION OF WORK: Install Pallet Racking 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 Range Hood Water Heater Other: Exhaust Fan Sink (Service/Bar/Mop/etc.) Other: SPRINKLER/ SUPPRESSION SYSTEM Number of Heads 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 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 Building Official before being authorized under any circumstance.I am the owner,or 1 am authorized by the owner of this property to perform the work for which application is made, and/comply with the to Contractors Law 18.27 RCW and 296.200A WAC. City of Everett Official Use Only PER 6/28/17 \ _ J Owner/Auth rized Agent Signature Date (Revised 10/12/2015) 1