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0 PERMIT APPLICATION• <br /> BUILDING / MECHANICAL/ PLUMBING / SIGN / SPRINKLER / DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 4,E7T 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. SUITE 101 PROPERTYTAX#: 28040300400800 <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME: POWDERMILL PHASE 1 LLC TENANT NAME(If Commercial): JBC PROPERTY MANAGEMENT <br /> OWNER MAILING ADDRESS: STREET 6840 FORT DENT WAY - SUITE 350 <br /> ,Tv SEATTLE STATE WA ziP 98188 <br /> OWNER PHONE: OWNER EMAIL: <br /> CONTRACTOR NAME: UNIVERSAL REFRIGERATION <br /> CONTRACTOR ADDRESS: STREET 4 10 2 B PL. NW. <br /> CITY AUBURN STATE WA z.. 98001 <br /> CONTRACTOR PHONE: (253) 939-5501 CONTRACTOR EMAIL: HEATH@UNIVERSALREFRIG.COM <br /> CONTRACTOR LICENSE#(REQUIRED): UNIVERI159RF CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 027645 <br /> PRIMARY CONTACT: ❑OWNER El CONTRACTOR ❑OTHER(Please Specify) <br /> CONTACT NAME: HEATH HAMBLEM CONTACT PHONE: (253) 939-5501 <br /> CONTACT EMAIL: HEATH@UNIVERSALREFRIG.COM <br /> BUILDING PERMIT APPLICATION <br /> Existing Use of Building: WAREHOUSE Contract Price of Work: $ 25, 518 <br /> Proposed Use of Building: WAREHOUSE/OFFICE Heat Source: ®Gas ❑Electric ❑Other <br /> Building Type: ❑SFR-Detached ❑SFR-Attached []Duplex ❑Multi-Family-#of Units: ❑Commercial ❑Industrial <br /> Type of Project: ❑New ❑Addition ❑Remodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use <br /> DESCRIPTION OF WORK: INSTALL (1) PACKAGE GAS ROOFTOP UNIT WITH ASSOCAITED DUCT DISTRIBUTION <br /> SYSTEM, (4) EXHAUST FANS, AND NATURAL GAS PIPING. <br /> ASSOCIATED BUILDING PERMIT# if applicable): ' �, I d 3 ` OS <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type of Project: New Addn _Alteration _Repair Type of Project: _New Addn _Alteration _Repair <br /> Fixtures List of Fixtures Fixtures List of Fixtures #of List of Fixtures #of List of Fixtures <br /> 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 Boiler Lavatory(Wash Basin) Drinking Fountain <br /> Water Heater Refrigeration Shower Floor Drain <br /> Gas Fireplace Wood Stove lKitchen Sink&Disposal lGrease 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(Service/Bar/Mop/etc.) Other: <br /> SPRINKLER/SUPPRESSION SYSTEM <br /> Chemical or Water I I No. of Heads <br /> ACKNOWLEDGEMENT.I 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 I comply with the State Contractors,Law 18.27 RCW and 296.200A WAC. <br /> City of Everett Official Use Only <br /> PERMIT <br /> Owner/Authorized Agent Signature Date (Revised 9/23/2016) <br /> 12— <br />