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10 <br /> PERMIT APPLICATIOI# <br /> BUILDIN(—i MECHANICAL/ PLUMBING / SIGN / SPRINKLER / DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 4ZTT 3200 CEDAR STREET, EVERETT,WA 98201 <br /> (P)425-257-8810 1 FAX 425-257-8857 i(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 PROPERTY TAX#: 2804030040 4O0 <br /> LEGAL for new construction: Short Plat/subdivision Lot No (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME: Panattoni Development Inc TENANT NAME(If Commercial): KLX Aerospace <br /> OWNER MAILING ADDRESS: STREET 6840 Fort Dent Way, Suite 350 <br /> ciTv Seattle STATE WA zip 98188 <br /> OWNER PHONE: 206-838-3847 OWNER EMAIL: <br /> CONTRACTOR NAME:-TZIT 1 <br /> CONTRACTOR ADDRESS: STREET J vy 1i D2— <br /> CITY (/l, STATE z1'q 80L-1 <br /> CONTRACTOR PHONE: ��^ DV CONTRACTOR EMAIL: <br /> CONTRACTOR LICENSE#(REQUIRED): 6 r I r CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): <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 Contract Price of Work: $200,000 <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: Commercial ❑Industrial <br /> Type of Project: ❑New ❑Addition ❑Remodel ❑Repair IZI T.1. ❑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 /> 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 /> 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 Kitchen Sink&Disposal 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(Service/Bar/Mop/etc.) Other: <br /> SPRINKLER/ SUPPRESSION SYSTEM <br /> Number 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 comply with the Stat Contractors Law 18.27 RCW and 296.200A WAC. <br /> City of Everett Official Use Only <br /> PERMIT# <br /> 1 I� I ( - <br /> Owder/AuthorizedAgent Signature Date (Revised 9/23/2016) <br /> 1 <br /> ip <br />