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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) PROJEGT SITE INFORMATION <br /> PROJECTSITEADDRESS 6611 Asscciated Boulevard PROPERTYTAX#: 2�3040100303200 <br /> LEGAL for new construction: Short Plat/subdivision Mt view Bus ctr Div 7 Lot No. 1 (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME: Amazon Corporate, LLC TENANT NAME(If Commercial): �azon Delivery Station DSE4 <br /> OWNER MAILING ADDRESS: sTrzeeT PO Box 8122 6 <br /> c iTy S e a t t 1 e STATE WA ziP 9 810 8 <br /> OWNER PHONE: 206-573-1204 OWNER EMAIL: kellibays@amazon.com <br /> CONTRACTOR NAME; Best Plumbin Grou , LLC <br /> CONTRACTORADDRESS: srReeT 4129 Stone Way North <br /> CITY SE-'dttle STATE T/�]j� ZIP `�J�Z�J <br /> CONTRACTORPHONE: 206-633-1700 CONTRACTOREMAIL: jereme@bestplumbing.com ,�" ` �' <br /> CONTRACTORLICENSE#(REQUIRED): BESTPGL973CD CITYOFEVERETTBUSINESSLICENSE#(REQUIRED'��.030495 <br /> PRIMARY CONTACT: ❑OWNER Ix CONTRACTOR ❑OTHER(Please Specify) ' <br /> CONTACT NAME: Jereme Wickstrom CONTACT PHONE: 425-750-6564 � <br /> CONTACTEMAIL: jereme@bestplumbing.com <br /> BUILDING PERMIT APPLICATION '"� <br /> Existing Use of Building: Contract Price of Work: � � � �� <br /> __ (Proposed Use of Building: Heat Source: ❑Gas t�ie--�--�3flti5er <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: <br /> ASSOCIATED BUILDING PERMIT#(if applicable : <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type of Project: _New Addn _Alteration _Repair Type of Project: _x New _Addn _Alteration Repair <br /> #of List of Fixtures #of List of Fixtures #of List of Fixtures #of List of Fixfures <br /> Fixtures Fiutures Fiutures Fixfures <br /> A/C-Air Handling Units Heat Pump 9 Toilet Backflow Preventer(Inside Bldg) <br /> � \ Forced Air Systems Unit Heater Bathtub 2 Urinal <br /> 18 r Gas Piping Boiler 10 Lavatory(Wash Basin) q Drinking Fountain <br /> / Water Heater Refrigeration Shower 2 Floor Drain <br /> Gas Fireplace Wood Stove 1 Kitchen Sink&Disposal Grease Trap <br /> Gas Range Ducting Dishwasher Roof Drains <br /> Clothes Dryer Hookups Other: Clothes Washer Medical Gas <br /> Range Hood 2 Water Heater 1 Other. Sand Interceptor <br /> Exhaust Fan 1 Sink(Service/Bar/Mop/etc.) 1 Other: E e Wash <br /> SPRINKLER/SUPPRESSION SYSTEM <br /> Chemical or Water No.of Heads <br /> ACKNOWLEDGEMENT:1 have reviewed this application and con(irm 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 1 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 L�18.27 RCW and 296.200A WAC. <br /> City of Everett Official Use Only <br /> � PC�2MIT O � <br /> --�-� �-�_..�_�_�-- M a y 2 5, 2 017 �, � '- � <br /> Ow er/ uthorized Agent Signature Date (Revise 9/23/2016J <br />