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P�RMIT APPLICATIA <br /> BUILDIN�t�CHANI�AL/ PLUMBING/SIGN�RINKLER/ DEMOLITION <br /> CITY OF EV�RETT PERMIT SERVIGES <br /> 3200 GEDAR STREET,EVERETT,WA 982�1 <br /> (P)425-257-8810 � FAX 425-25T-8857 �(�)everetteps@everettwa.gov�,www,everettwa.gov/permits <br /> PROJECT SITE INFORMATION <br /> P�to��c sfr�a[�ori�s5: 1523 132ND ST SE PROP�R�r t�x#: 2g05300Q406300 <br /> LEGAL for new construction: Short Platlsubdivision Lot No. (attach copy of long legal description) <br /> CONT/lCT INFORMATION <br /> OWNEF�NAM�: 0�-YMP1C GROWTH LLC TENANT NAME(if Commercial): TBD <br /> OWNER MAILINCa ADDRESS: srReer 8124 FALLS AV�5E <br /> _ �� SNOQUALMIE _ srare WA ziP 98065 <br /> OWNEI�PHONE,: 425-888-2993 OWNER EMAIL: MARIELLE@MKPS.NET <br /> CONTRACTOR NAME: FARWEST TI <br /> CONTRACT�R ADDRESS: sr�eer PO BOX 775, <br /> cmr EDMONDS sTn� WA ziP 98020 <br /> CONTRACTOR PHONE: 206.930.7336 CONTRACTOR EMAIL: HOLLAND@FARWESTTI.COM <br /> GONTRAGTOR LICENSE#(REQUIRED): FARWET'I S6TM4 GITY OF EVERETT.BUSINESS UCENSE fi(REQUIRED): <br /> KEIR VONDRUSKA-ARCHITECT <br /> __ __ ._ _ _ _ <br /> _ . _ -- <br /> PRIMARY CONTAGT: �OWNER ❑CONTRACTOR �OTHER(Please Specify)_ <br /> CONTACT NAM�: GON7ACT PHONE: 425-260-0413 <br /> CONTACT EMAII.: KVONDRUSKA@KVA-ARCH.COM <br /> BUILDING PERMIT APPLICATION ' <br /> Existin Use of Buildin : COMMERCIAL �er � Contract Price of Work:S � �fl� <br /> Pro osed Use of Buildin : COMMERCIAL Heat Source: �3(Gas OElectric ❑Other <br /> Buildin T pe: ❑SFR-Detached �SFR Attached ❑Duplex �Multi-Famil -#of Units: Commercial ❑Industrial <br /> T e of Pro ect: �New OAddition $(�2emodel ❑Repair ❑T.I. ❑Si n ❑Sprinkier ❑Demolition ❑Chan e of Use <br /> DESCRIPTION OF WORK: DEMISING TO EXISTING SPACE INTO 2 NEW SPACES, NEW <br /> RESTROOMS, NEW STOREFRONT DOORS <br /> ASSOCIATED BUILDING PERMIT# if a licable : <br /> MECHANICAL'PERMIT APPLICATION ' PLUMBINCs PERMIT APPtICA710N <br /> Type of project: _New _ Addn Alterattoo _Repair Type of Project: _,New _,Addn �Alteration _Repair <br /> #of Lis!of Flxtures #of Ust of Flxtures #of Ust of Fixtures #of Llst of Flxtr�res <br /> F/xtures Fixturas Flxtwes Ftxtures <br /> A/C—Air Handlin Units Heat Pump 2 Toilet Backflow Preventer Inside Bid ) <br /> Forced Air S stems Unit Heater Bathtub Urinal <br /> Gas Pipin Boiler 2 Lavato Wash Basin Drinki Fountain <br /> Water Heater Refi eration Shower Floor Drain <br /> Gas Fireplace Wood Stove Kitchen Sink&disposal Grease Tra <br /> �as Ran e Ductin Dishwasher Roof[3rains <br /> Clothes[� er Hooku s Other. Clothes Washer Medical Gas <br /> Range Hqod Water Heater Other. <br /> Exhaust�an Sink S�rvice/BarlMop/�tc. Other: <br /> ' SPRINlELER!3URPRESSION SYSTEM <br /> Number of Heads <br /> ACKNOWLEDGEMENT.•1 have reviewed thls application and conflrm the in/ormation contained herein is true and correct Work done pursuant to thls permit must comply with <br /> current federal,state,and local law.The grant)ng of a permlt onty authorizes approved work and no deviations therefrom.Deviations must Brst be authorized in writing from the <br /> Building O�c1al before being authorized under any cirGumstance.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 /> Ciry of Everett OtRcial Use Onfy <br /> � ,/ PERMIT# <br /> ,�-'<►/���� ��� /,� � <br /> < S � Sf l <br /> Owner/Autho►ized Agent Signatur� Date (Revised 1U/12/20f5) � <br /> ( a� <br />