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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: 6611 ASSOCIATED BLVD, EVERETT, WA 98203 pROPERTY TAX#: 28040100303200 <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME: OWNER REP: KELLI BAYS TENANT NAME(If Commercial):AMAZON CORPORATE LLC <br /> OWNER MAILING ADDRESS: sTREEr PO BOX 81226 <br /> cin SEATfLE sTATE WA Z,P 98108 <br /> OWNER PHONE: (Z06) 573-1204 OWNER EMAIL: KELLBAYS@AMAZON.COM <br /> CONTRACTOR NAME: ,L�v �IyI � � n � " �-� � <br /> CONTRACTOR ADDRESS: sTReer <br /> CITY STATE ZIP <br /> CONTRACTOR PHONE: CONTRACTOR EMAIL: <br /> CONTRACTOR LICENSE#(REQUIRED): CITY OF EVERETT BUSINESS LICENSE#(REQUIRED):�I� � <br /> PRIMARY CONTACT: ❑OWNER ❑CONTRACTOR JZI OTHER(Please Specify) AUTHORIZED AGENT: DUSTIN THORLAKSON <br /> CONTACT NAME: FREIHEIT& HO ARCHITECTS, INC., P.S. - CONTACT PHONE: (425) 827-2100 ��� <br /> DUSTIN THORLAKSON CONTACT EMAIL: DTHORLAKSON@FHOARCH.COM <br /> BUILDING PERMIT APPLICATION <br /> Existing Use of Building: WAREHOUSE/DISTRIBUTION Contract Price of Work: $ ,000,000.00 <br /> Proposed Use of Building:WAREHOUSE/DISTRIBUTION 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: <br /> TENANT IMPROVEMENT OF APPROXIMATELY 86,328 SF FOR PACKAGE HANDLING DELIVERY STATION IN AN EXISTING BUILDING TO <br /> INCLUDE WAREHOUSE AREA, BREAK ROOM, RESTROOMS, OPEN OFFICE, PRIVATE OFFICES AND CONFERENCE ROOM. <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type of Project: New Addn _Alteretion _Repair Type of Project: _New _Addn _Alteration _Repair <br /> #of List of Fixtures #of List of Fiartures #of List of Fintures #°f List of Fixtures <br /> Fixiures Fintures 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 /> Chemical or Water No.of Heads <br /> ACKNOWLEDGEMENT.I have reviewed fhis application and confirm the information contained herein is true and correct. Work done pursuant to this permit must comp/y with <br /> cur�ent federal,state,and local law. The granting of a permif 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 Cont�actors Law 18.27 RCW and 296.200A WAC. <br /> % �� ✓ City of Everetf Official Use On/y <br /> � � <br /> � �- ='" PERMIT <br /> �- --i ��� � -� � D 0 <br /> ner/Authorized gen ' nature Date (Revised 9/23/2016) ' t �` <br /> L'� � <br />