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PERMIT APPLICATI . <br /> /41P/104/V:":-.4 <br /> BUILDII� I MECHANICAL/ PLUMBING /SIG PRINKLER/ DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET,EVERETT,WA 98201 <br /> (P)425-257-8810 1 FAX 425-257-8857 1(E).everetteps@everettwa.gov I www.everettwa.gov/permits <br /> (Blue or Black Ink Only Please) ; PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS: e0-B49ek Riverside Road PROPERTY TAX#: 29050900300900 <br /> LEGAL for new construction: Short Plat/subdivision Lot No. 2 (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME: Latitude Development, LLC TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: STREET PO Box 817 <br /> CITY Auburn STATE WA ZIP 98017 <br /> OWNER PHONE: 425-466-7119 OWNER EMAIL: dave@latitudedev.com <br /> CONTRACTOR NAME: Donovan Brothers Inc. (Kevin Donovan) <br /> CONTRACTOR ADDRESS: STREET PO Box 818 <br /> CITY Auburn STATE WA ZIP 98071 <br /> CONTRACTOR PHONE: 253-939-7777 CONTRACTOR EMAIL: kevin@dbros.com <br /> CONTRACTOR LICENSE#(REQUIRED): DONOVBIO94O5 CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): <br /> PRIMARY CONTACT: 0 OWNER 0 CONTRACTOR III OTHER(Please Specify) Architect <br /> CONTACT NAME: Tahoma Design Group CONTACT PHONE: 253-284-9680 <br /> (Dale Couture AIA) CONTACT EMAIL: pdcouture@tahomadesigngroup.com <br /> BUILDING PERMIT APPLICATION <br /> Existing Use of Building: Contract Price of Work:$ 3748e76430 �.Od(�,IVO <br /> Proposed Use of Building: F-1 (manufacturing) and B (office) Heat Source: ®Gas ❑Electric ❑Other <br /> Building Type: ❑SFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units: IgiCommercial ®Industrial <br /> Type of Project: ❑New DAddition ❑Remodel ❑Repair ®T.I. OSign ❑Sprinkler ❑Demolition El Change of Use <br /> DESCRIPTION OF WORK: The proposed tenant improvement will be 19,492 sf of 1st floor office, <br /> 18,170 sf of 2nd floor office and 610 sf of restroom. <br /> ASSOCIATED BUILDING PERMIT#(if applicable): B1703-030 <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type of Project: _New _ Addn _Alteration _Repair Type of Project: _New _Addn _Alteration _Repair <br /> #of #of #of #of <br /> List of Fixtures List of Fixtures List of Fixtures 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 /> Chemical or Water I INo.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.I 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 Contractors Law 18.27 RCW and 296.200A WAC. <br /> PERMIT# <br /> City of Everett Oficial Use Only <br /> 1'19' 17 <br /> — 4t y� � <br /> Owner/•uthorized Agent Signature Date (Revised 9/23/2016) <br />