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� PERMIT APPLICATION � <br /> BUILDING / MECHANICAL/ PLUMBING /SIGN / SPRINKLER/ DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> (P)425-257-8810 � FAX 425-257-8857 �(E)everetteps@everettwa.gov� www.everettwa.gov/permits <br /> (Blue or Black Ink Only Please) PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS: 1205-A SE Everett Mall Way PROPERTY TAX#: 28051800404100 <br /> LEGAL for new construction: Short PlaUsubdivision Lot No. (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME: Doug Bean &Associates, InC. TENANT NAME(If Commercial): Ames Tapillg TOOIS <br /> OWNER MAILING ADDRESS: sTReer 1650 NW Naito Parkway, SUlte 302 <br /> a,,r Portland sTnTe OR ziP 97209 <br /> OWNER PHONE: (503) 222-5100 OWNER EMAIL: csloan@dougbean.com <br /> CONTRACTOR NAME: Davis Schueller, Inc. <br /> CONTRACTOR ADDRESS: srReET 4601 Chennault Beach Road <br /> CITY Mulilteo STATE WA ZIP 98275 <br /> CONTRACTOR PHONE: aa9425) 775-9400 CONTRACTOR EMAIL: Jstockburger@davisschueller.com <br /> CONTRACTOR LICENSE#(REQUIRED): DAVICSI 105PN CITY OF EVERETT BUSINESS LICENSE#(REQUIRE �: 026267 <br /> PRIMARY CONTACT: ❑OWNER ❑CONTRACTOR ■OTHER(Please Specify) ArChiteCt <br /> CONTACT NAME: Paul Engert CONTACT PHONE: (206) 225-1443 <br /> Engert Architecture LLC CONTACT EMAIL: paul@engertarchitecture.com <br /> BUILDING PERMIT APPLICATION <br /> Existin Use of Buildin : Retail Contract Price of rk: $ 12,200 <br /> Proposed Use of Buildin : Retail Heat Source: ❑G ❑ �ic ❑Other <br /> Buildin T e: ❑SFR-Detached ❑SFR-Attached ❑Du lex ❑Multi-Famil -#of Units: �Commercial ❑Industrial <br /> T pe of Pro�ect: ❑New ❑Addition ❑Remodel ❑Repair ❑T.I. ❑Si n ❑Sprinkler �Demolition ❑Chan e of Use <br /> DESCRIPTION OF WORK: <br /> Demolition of existing interior tenant improvements. Creating make ready space for future tenant Ames Taping Tools. <br /> ASSOCIATED BUILDING PERMIT# if a licable : <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 #�f List of Fixtures #of List of Fixtures #of List of Fixtures <br /> Fixtures Fixtures Fixtures Fixtures <br /> A/C—Air Handlin Units Heat Pump Toilet Backflow Preventer(Inside Bld ) <br /> Forced Air S stems Unit Heater Bathtub Urinal <br /> Gas Pipin Boiler Lavato (Wash Basin) Drinkin Fountain <br /> Water Heater Refri eration Shower Floor Drain <br /> Gas Fireplace Wood Stove Kitchen Sink&Disposal Grease Trap <br /> Gas Ran e Ductin Dishwasher Roof Drains <br /> Clothes D er Hookups Other: Clothes Washer Medical Gas <br /> Ran e Hood Water Heater Other: <br /> Exhaust Fan Sink Service/Bar/Mo /etc. Other: <br /> SPRINKLER/SUPPRESSION SYSTEM <br /> Chemical or Water 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.I am the owner,or I am authorized by the owner of this property to perform the work for which application is made, <br /> and 1 comply with the State Contractors Law 18.27 RCW and 296.200A WAC. <br /> City of Everett Official Use Only <br /> PERMIT# 1 � �'�r�� <br /> � 6/5/2017 � `� � �-�J� <br /> Owner/Authorized Ag t Signature Date (Revised 9/23/2016) <br /> 1�-j <br /> {L <br />