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� r�uuamg #y3o � <br /> PERMIT APPUCATIOt� <br /> BUILDING /MECHANICAL 1 PLUMBING/SIGN r�INKLER/DEMOLITION <br /> CITY OF EVERETT PEl2MIT SERVICES <br /> 3200 CEDAR STREET,EVERETT,WA 98209 <br /> {P)425-257-8810 ( FAX 425-257-8857 �(E)everetteps@everettwa.gov� www.everettwa.gov/permits <br /> (Blue or Biack Ink Only Please) PROJEGT SITE INFORIYlATION <br /> PROJECT SITE ADDRESS: 900 W Casino RD, Everett, WA 98204 P�op��zrr t�,x#: 00392104000401 <br /> LEGAL for new construction: Sfiort PlaUsubdivision Lot No. (attach copy oi long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME: Trailside Preservation LP TENANT NAME{If Canmercial): <br /> OWNER MAILING ADDRESS: S,�E� 21515 Hawthorne BLVD. Suite 390 <br /> �,TM Torrance STA7E WA z� 90503 <br /> OWNER PMONE: 310-802-GSHZ OWNER EMAIL: Nick Preserva#ion artners.or <br /> coNrw►croR NauiE: Holmberg Company <br /> CONTRACTOR ADDRESS: sTaEEr 1128 8th st <br /> �� Kirkland STA,� WA =�P 98033 <br /> CONTRACTOR PHONE: CONTRACTOR EMAlL: <br /> CONTRAC70R�tCENSE/!(REQUIREDj: HOLMBC*066ME CiTY�f EVEttETT BUSINESS LICENSE#(REQUIRED): OrJi 003 <br /> PRIMARY GON7ACT: ❑OWNER �CONTRACTOR ❑OTHER{Please Specify) <br /> GONTACT NAME: CONTACT PHONE: 1�2rj-�OZ-7$7O <br /> Jacob Klein <br /> CONTACT EMAIL: �jaCObK�IIOItIIf?�t' CO.com <br /> BUILDIN6 PERMIT APPWCATION <br /> Existin Use of Buildin : Contrect Price of Work:3 1400 <br /> Pro osed Use of Buiiding: Heat Source: ❑Gas ClElec#ric ❑Other <br /> Buildin T : ❑SFR-Detached ❑SFR-Attached ❑Du lex ❑Multi-Famil of Units: ❑Commercial [7lndustrial <br /> T of Pro'ect: ❑New ❑Addition ❑Remodel �Re air ❑T.I. ❑Si n �S �nkler ❑Demolition ❑Chan e of Use <br /> DESCRIPTION OF WORlC: ���p�'� �o� ���,�.R„ �M�� �� t�, ,I,,,� ��'�o� <br /> � a /V�.� <br /> Gh�.►��, <br /> ASSOCIATED BUILDING PERMIT# if a licable : <br /> MECHANICAL PERMIT APPLICATION Pl.UMB1NG PERMiT APPLICATION <br /> Type of Project: _New Addn X Alteration _Repair Type of Project: New Addn _Alteration _Repair <br /> #of List of�x#ures #o� 13st of Ffxtunes #of tis#af Fhrtunes #of Lrst of Fixtures <br /> Fixtures Ffxtures Fixtures Flxtures <br /> AlC–Ai�Handiin Units Heat Pump 7oilet Backflow Preventer(Inside Bld <br /> Forced Air S tems Unit Heater Bathtub Urinal <br /> Gas Pi i Boiler Lavato ash Basin Drinkin Fountain <br /> Water Heater Refrigeration' Shower Floor Drain <br /> Gas Fireplace Wood Stove K'dche�Sink E�Dis sal Grease Tra <br /> Gas Ran e Ducting Dishwasher Roof Drains <br /> Clothes D er iiooku s Other. Clo#hes Washer Medical Gas <br /> Ran e Hood Water Heater Other: <br /> Exhaust Fan Sink Service/Bar/Mo e#c. Uther: <br /> SPRINKLER/SUPPRESSION SYSTEM <br /> Chemical or Water No.of Heads <br /> ACKNOWLEDGEMENT:/have rseviewed this applkaUon and conflrm the informatlon contaJned herein Is tn►e and co�rect.Wak done pursuant to ihis permR must comply wlth <br /> cu►rent federal,state,and local lew.The grar+ting of a permit only euthorizes approved work and na deviatrons the�ham.Deviations must first 6e authorized in writing from the <br /> Building OIh'cial before berng aulhorized under any circumstance.1 am the ow»er,or 1 am authnrized 6y ihe owner nf U�is prope+iy fo pedorm the work for whlch application is mede, <br /> and!comply with the State Contractors Law 18.27 RCW and 296.200A W/IC. <br /> City of Everett Official Use Only <br /> �-C� �j�� � PE� — � <br /> Owner/Authorized A�ent Sis�nature Date lRevised 9I2312016) <br />