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PERMIT APPLICATION <br /> BUILDING / MECHANICAL/ PLUMBING / SIGN / PRINKLER/ DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 4Z77 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: 6311 36th Ave W t CQ PROPERTY TAX#: 28040300401400 <br /> LEGAL for new constructionShort Plat/subdivision Lot No. (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME: Panattoni Development Inc TENANT NAME(If Commercial): JBC Product Management <br /> OWNER MAILING ADDRESS: STREET 6840 Fort Dent Way, Suite 350 <br /> ciTY Seattle STATE WA zip 98188 <br /> OWNER PHONE: 206-83$-3847 p OWNER EMAIL: <br /> CONTRACTOR NAE TBD <br /> CONTRACTOR AD .EqSi STREET <br /> t . <br /> CITY U STATE ZIP <br /> CONTRACTOR PHONE: CONTRACTOR EMAIL: <br /> CONTRACTOR LICENSE#(REQUIRED): CITY OF EVERETT BUSINESS LICENSE#(REQUIF,2ED):OC ii <br /> PRIMARY CONTACT: ❑ OWNER ❑CONTRACTOR ZI OTHER(Please Specify) Architect _ <br /> CONTACT NAME: CONTACT PHONE: 425-646-1818 <br /> SynThesis - John Llacuna CONTACT EMAIL: John.Llacuna@Synthesispllc.com <br /> BUILDING PERMIT APPLICATION <br /> Existing Use of Building: Business/Storage/Manufacturing I Contract Price of Work: $,-2-9A-6�0' CO, 000 <br /> Proposed Use of Building: Business/Storage/Manufacturing Heat Source: V]Gas ❑Electric ❑Other <br /> Building Type: ❑SFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units: ZCommercial ❑Industrial <br /> Type of Project: ❑New ❑Addition ❑Remodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use <br /> DESCRIPTION OF WORK: <br /> Construction of new Offices, Toilet Rooms and Break Room. Scope to include wall framing, suspended ceiling, fixtures and finishes. <br /> WW,�, 8' FeNC2 ; pr'V r, 1,6}-. <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type of Project: New Addn _Alteration _Repair Ty6e 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 Boller Lavatory(Wash Basin) Drinking Fountain <br /> Water Heater Refrigeration Shower Floor Drain <br /> Gas Fireplace Wood Stove Kitchen Sink& Disposa 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(S rvice/Bar/Mop/etc.) Other: <br /> SPRINKLER/ SUPPRESSION SYSTEM <br /> Number of Heads <br /> ACKNOWLEDGEMENT:/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 fed6ral,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 efore being authorized under any circumstance. l am the owner,or 1 am authorized by the owner of this property to perform the work for which application is made. <br /> and I c ml wi h the State Contractors Law 18.27 RCW and 296.200A WAC. <br /> / J, City of Everett Official Use OCnly <br /> in <br /> 0 ner/Authorize Ag nt Signature Date (Revised 9/23/2016) <br />