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� PERMIT APPLICATIO� <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 SEATTLE STATE WA ZiP 98108 <br /> OWNER PHONE: (Z06) 573-1204 OWNER EMAIL: KELLBAYS@AMAZON.COM <br /> CONTRACTOR NAME: Tg� � '� %Y �' � � i� <br /> CONTRACTOR ADDRESS: sTReer <br /> CITY STATE ZIP <br /> CONTRACTOR PHONE: CONTRACTOR EMAIL: <br /> CONTRACTOR LICENSE#(REQUIRED): CITY OF EVERETT BUSINESS LICENSE#(REQUIRED):U �'��O <br /> PRIMARY CONTACT: ❑OWNER ❑CONTRACTOR �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: $ 300,000.00 <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 fdT.l. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use <br /> DESCRIPTION OF WORK: <br /> NEW GAS-FIRED UNIT HEATERS WITH VENTILATION EXHAUST FANS, EMERGENCY EXHAUST FANSE,GAS-FIRED MAKE-UP AIR <br /> UNITS,AND HIGH VOLUME LOW SPEED FANS ASSOCIATED WITH REMODELED DISTRIBUTION CENTER, EXISTING RTUS TO BE <br /> REUSED IN OFFICE SPACE /` <br /> ASSOCIATED BUILDING PERMIT#(if applicable): D � j v � <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 Fiactures #of List of Fixtures <br /> Fixtures Fixtures Fiutures Fixtures <br /> A/C—Air Handling Units Heat Pump Toilet Backflow Preventer(Inside Bldg) <br /> Forced Air Systems 1p Unit Heater Bathtub Urinal <br /> 10 Gas Piping Boiler Lavatory(Wash Basin) Drinking Fountain <br /> e 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 this application and confirm the information contained herein is true and correct. Work done pursuant to this permit must comply wifh <br /> current(ederal,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 peAorm the work for which application is made, <br /> and I comply with the State Contractors La 18.27 CW and 296.200A WAC. <br /> City of Everett Official Use Only <br /> � � )� �� PERMIT# 1 ' �� <br /> ( U <br /> uthorized Ag igfiature Date (Revised 9/23/2016J �-, <br /> �� � <br /> � �,, <br />