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� �ui�aing #�ze � <br /> PERMIT APPLiCATiON <br /> BUILDING !MECHANICAL/PLUMBII�C J SIGN/ �INKLER/ DEMOLlXION <br /> CITY OF EVERETT PERMMT 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 Oniy Please) PROJECT SITE INFORINATION <br /> PROJECTSITEADQRESS: 9�fJ V1l Casino RD, Everett, WA 98204 PROPERTYTAX#: 003921 O000040� <br /> �EGAL for new construction: Sfiort PlaUsubdivision Lot No. (attach copy of lang legai description) <br /> CONTACT INFORMATION <br /> OWNER NAME: Trailside Preserva#ion LP TENANT NAME(!f Commercial): <br /> OWNER MAIUNG ADDRESS: S�E� 21515 Hawthorne BLVD. Suite 390 <br /> �,TM Torrance STAIE WA �� 90503 <br /> OWNER PHONE: 310-802-6fi82 OWNER EMAIL: Nick Preservation artners.or <br /> coNTwac-roR Nan�e: Hoimberg Company <br /> CONTRACTOR ApDRESS: srae� 1128 8th st <br /> ��„� Kirkland STA,� WA Z�P 98033 <br /> CONTRACTOR PHONE: CONTRACTOR EMAIL: <br /> CONTRACTOR LICENSE#(REQUIREDj: HOLMBC*066ME CITY OF EVEI2ETT BUSINESS LICENSE#{REQUIRED): O�J100.3 <br /> PRIMARY CONTACT: ❑OWNER �CONTRAGTOR �OTHER{Please Specifyj <br /> CONTAGT NAME: J�C�b ����n CONTACT PHONE. t�,2,�J_602-]3'j() <br /> CONTACT EMAI�: �acobK�q7hoimber co.com <br /> BUILDING PERMIT APPLICATION <br /> Existin Use of Buildin : Contract Price of Work:; 1400 <br /> Pro sed Use of Buildin : Heat Source: ❑Gas ❑Electric ❑Other <br /> Buildin T : ❑SFR-Detacfied �SFR-Attached ❑Du lex ❑Multi-Famil -#of Units: �Commercial ❑Industrial <br /> T e of Pro'ect: ❑New OAddition ❑Remodel �Re air ❑T.1. ❑Si n ❑S rinkler ❑Demoiitfon ❑Chan e of Usa <br /> DESCRIPTION OF WORK: �,L�,o�''� ,�.,���..� 0�,�!.!�-�,,'t G►hy� �oq0�, /�/� L��'�4� <br /> Gh�.��� �J v <br /> ASSOCfATED BUILDING PERMIT# if a licable : <br /> MECHANICAL PERMIT APPLICATION PLUMBtNG PERMiT APPLICATION <br /> Type of Proje�t: New Addn X Alteration _Repair Type of ProJect: �Naw Addn Altsratlon Repair <br /> #of List of Fixtures �°f tFst of Fi�ures �°f Lfst of Ffirtur�es �°f List of f�Pxtures <br /> Fixtures F'ixtures Flxtures Ft�rtures <br /> A/C—Ai�Handlin Units Heat Pump Toilet Backflow Preventer Inside Bld <br /> Forced Air S tems Unit Heater Bathtub Urinal <br /> Gas Pi in Boifer Lavato ash Basin Drinkin Fountain <br /> WaterHeater Refri eration Shower Floor Drain <br /> Gas Fireplace Wood Stove Kitchen Sink 8�Dis sal Grease Tra <br /> Gas Ran e Ductin Dishwasher Roof Drains <br /> Clothes D er Hooku Other. Clothes Washer Medical Gas <br /> Ran e Hood Water Heater Other. <br /> Exhaust fan Sink(ServicelBar/Mo e#c. flther. <br /> SPRINKLER 1 SUPPRESSION SYSTEM <br /> Chemical or Water No.of Heads <br /> ACKNO WLEDGEMENT:1 have neviewed this app/ication and confim�the information contalned herefn is trve and corsed.Wak done pursuani to this pertnit must comply wfth <br /> cument federal,state,and local law.The granting of a pe+mit only authorizes approved work and no deviations the�efiom.Devlations musf first be authorized in writing from the <br /> Building Olficia!before being authorized ander any cfrcumstance.1 am the owner,or!am authaized by the owrter of this prnper�y to periomi!he work for whlch application is made, <br /> and!compty with the State Conlractors Law i8.27 RGW and 296.200A WAC. <br /> City of Everett Off'icial flse f�nly <br /> �,��,� PER�UIIT#1� J - O � <br /> V��� <br /> Owner/Authorized Apent Sipnature Date fRevised 9l23I2U1S) <br />