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PERMIT APPLICATION <br /> /11P4* ---A <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 I FAX 425-257-8857 I(E)everetteps@everettwa.gov I www.everettwa.gov/permits <br /> (Btlule';or Black InkOnly,Please) PROJiECT'SITE'INF'ORM,ATI'ON,.:,.., <br /> PROJECT SITE ADDRESS: 1 407 80th St SW, Everett, WA 98203 PROPERTY TAX#: 00392200000700 <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME: Achilles USA TENANT NAME(If Commercial): Achilles USA <br /> OWNER MAILING ADDRESS: STREET PO Box 2287 <br /> CITY Everett STATE WA ZIP 98203 <br /> OWNER PHONE: (425) 931-9693 OWNER EMAIL: tmorgan@achillesusa.com <br /> CONTRACTOR NAME: Axthelm Construction, Inc. <br /> CONTRACTOR ADDRESS: STREET 3610 Cedardale Rd <br /> crrw Mount Vernon STATE WA ZIP 98274 <br /> CONTRACTOR PHONE: (360)424-6848 CONTRACTOR EMAIL:jimaxthelm@comcast.net <br /> CONTRACTOR LICENSE#(REQUIRED): AXTHECIO9DU CITY OF EVERETT BUSINESS LICENSE#(REQUIRED):In Process <br /> PRIMARY CONTACT: 0 OWNER ZJ CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 0: (360)424-6848 C: (360)661-4949 <br /> Jim Axthelm CONTACT EMAIL:jimaxthelm@comcast.net <br /> BUILDING PERMIT APPLICATION <br /> Existing Use of Building: Contract Price of Work:$80,000.00 <br /> Proposed Use of Building:Storage Silo Heat Source: ❑Gas ❑Electric (7Other N/A <br /> Building Type: ❑SFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units: ❑Commercial ,Industrial <br /> Type of Project: ZINew ❑Addition ❑Remodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use <br /> DESCRIPTION OF WORK: <br /> Foundation for (4) new Storage Silo and (1 ) Blower House Cover <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <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 Fixtures #of List of Fixtures <br /> Fixtures Fixtures Fixtures Fixtures <br /> NC—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 /> I 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 authorized under any circumstance.lam the owner,or lam authorized by the owner of this property to perform the work for which application is made, <br /> and I comply with the State Contractors Law 18.27 RCW and 296.200A WAC. <br /> City of Everett Official Use Only <br /> Owner/Authorized Agent ig ature Date (Revised 9/23/2016) <br />