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PERMIT APPLICATION <br /> BUILDING I MECHANICAL I PLUMBING I SIGN I SPRINKLER I DEMOLITION <br /> °P1°*004/4*:;;'---A <br /> 41/44 .1/04 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 /> (Blue_oi BIkck,lhk;Only Pll`ease), . PROJECT SITE;INFORMATION <br /> PROJECT SITE ADDRESS: 415 Riverside RD PROPERTY TAX#: 29050900300800 <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> CONTACT INFORMATION. <br /> OWNER NAME: RBP 1, LLC TENANT NAME(If Commercial): Zodiac Aerospace <br /> OWNER MAILING ADDRESS: STREET PO Box 818 <br /> CITY Auburn STATE WA ZIP 98071 <br /> OWNER PHONE: 253-939-7777 OWNER EMAIL: <br /> CONTRACTOR NAME: Northwest Handling Systems <br /> CONTRACTOR ADDRESS: STREET 1100 SW 7th St <br /> cITY Renton STATE WA zip 98057 <br /> CONTRACTOR PHONE: 425-919-3597 CONTRACTOR EMAIL: neilm@nwhs.com <br /> CONTRACTOR LICENSE#(REQUIRED): CC NORTHWH 275JF CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 011598 <br /> PRIMARY CONTACT: 0 OWNER I' CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: Neil Montague CONTACT PHONE: 425-919-3597 <br /> CONTACT EMAIL: neilm@nwhs.com <br /> BUILDING"PERMIT APPLICATION <br /> Existing Use of Building: warehouse Contract Price of Work:$ 15,089.00 <br /> Proposed Use of Building: same,warehouse Heat Source: l3Gas ❑Electric ❑Other <br /> Building Type: ❑SFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units: UCommercial ❑Industrial <br /> Type of Project: ❑New ❑Addition ❑Remodel ❑Repair T.I.M ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use <br /> DESCRIPTION OF WORK: Install Pallet Racking <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> 'MECHANI'CAL'PERMITAPPLICATION, PLUMBING<PERM.IT 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 I SUPPRESSION SYSTEM..;, .; <br /> Chemical or Water I 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 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 /> City of Everett Official Use Only <br /> PERMIT# <br /> 1,61 <br /> Owner/Authorized Agent Signature ate (Revised 9/23/2016) <br />