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II II II IIII 41"7". PERMIT APPLICATIO IIIIII <br /> BUILDI� 1nECHANICAL/ PLUMBING/SIGN ) ! $ INKLER/ DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET,EVERETT,WA 98201 <br /> (P)425-257-8810 I FAX 425-257-8857 1(E)everetteps@everettwa.gov I www.everettwa.gov/permits <br /> PROJECT SITE JNFORMATION ;x Sys E <br /> PROJECT SITE ADDRESS: 2201 100th St. SW PROPERTY TAX#: 28041400300900. 28041400300500 <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> x CONTACT INFORMATION <br /> OWNER NAME: Greg Goldfinch TENANT NAME(If Commercial): Aurora Doors <br /> OWNER MAILING ADDRESS: STREET 2201 100th St. SW <br /> CITY Everett STATE WA ZIP 98204 <br /> OWNER PHONE: (425)374-1360 OWNER EMAIL: <br /> CONTRACTOR NAME: B'l# V <br /> CONTRACTOR ADDRESS: STREET v <br /> CITY STATE ZIP <br /> CONTRACTOR PHONE: CONTRACTOR EMAIL: <br /> CONTRACTOR LICENSE#(REQUIRED): CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): <br /> PRIMARY CONTACT: 0 OWNER 0 CONTRACTOR MOTHER(Please Specify) Agent <br /> CONTACT NAME: CONTACT PHONE: (425)252-2153 <br /> Jesse Wolfe- 2812 Architecture CONTACT EMAIL: Jesse@2812architecture.com <br /> BUILDING.PERMIT APPLICATION . ,„ n <br /> Existing Use of Building: Post Office Contract Price of Work:$ 650,000 <br /> Proposed Use of Building:Manufacturing Heat Source: ❑Gas DElectric ❑Other <br /> Building Type: ❑SFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units: XICommercial ❑Industrial <br /> Type of Project: Cl New DAddition NRemodel ❑Repair r.l. ❑Sign ❑Sprinkler ❑Demolition OChange of Use <br /> DESCRIPTION OF WORK: <br /> Demolition of walls and fixures to construct new walls and structure related to new 2,512 sf mezzanine <br /> addition in an existing 27,796 sf building. <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> ,MECHANICAL PERMIT,APPLI,CATION PLUMBING3PERMIT,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 authori d under any circumstance.lam 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 Contrac rs Law 18.27 RCW and 296.200A WAC. <br /> City of Everett Official Use Only <br /> /77/e PERMIT# <br /> 1- 1 (00 (- 021 <br /> er/Authorized Agent ignature t (Revised 10/12/2015) <br />