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PERMIT APPLICATIO <br /> BUILDIN�CHANICAL/ PLUMBING /SIGN ��RINKLER/ DEMOLITION <br /> CITY OF EVERETT PERMIT SERVIC <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$lacic !nk„�iniy Please)'', '..' PROJEC'!'�SI,T� INF�RNtA'CI�ON ..' � , " <br /> PROJECT SITE ADDRESS: 2�07 Colby Ave Suite 718 PROPERTY TAX#: <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long le al description) <br /> G�NTACT:INFORMATI+�N` , <br /> OWNER NAME: Skotdal Real Estate TENANT NAME(If Commerc al): HDR <br /> OWNER MAILING ADDRESS: sTReeTP.O. BOX 526`7 <br /> cin Everett sTnTE WA ZiP 98206 <br /> OWNER PHONE: 425-252-5400 OWNER EMAIL: � <br /> CONTRACTOR NAME; Wolfe Fire Protection, Inc <br /> CONTRACTOR ADDRESS: s-rReeT 17321 Tye St SE, #B <br /> ciTv Monroe sTATE WA ziP 98272 <br /> CONTRACTOR PHONE: 360-794-7926 CONTRACTOR EMAIL: <br /> CONTRACTOR LICENSE#(REQUIRED):WOLFEFP906DD CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 050129 <br /> PRIMARY CONTACT: ❑ OWNER � CONTRACTOI� ❑ OTHER(Please Specify) <br /> CONTACT NAME: Jodi Joanis CONTACT PHONE: 360-794-7926 ext 206 <br /> CONTACT EMAIL: JodiJ@wolfefp.com <br /> ;� � . ,.. � .. Bf7.1�tDfNG�P�R °� e � � ��� �,� „ „ <br /> y <br /> �,� ; M� ���'PLICI�TIQN ' �,.,; �, " ����, .., '- -' <br /> Existing Use of Building: Commercial/Office Contract Price of Work:$ 4, 100 <br /> Proposed Use of Building: Heat Source: ❑Gas ❑Electric ❑Other <br /> Building Type: ❑SFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units: �Commercial ❑Industrial <br /> Type of Project: ❑New ❑Addition ❑Remodel ❑Repair ❑T.I. ❑Sign f�Sprinkler ❑Demolition ❑Change of Use <br /> �'ESCRIPTION OF WORK: Add and relocate sprinkler heads to accommodate new floor plan. <br /> ASSOCIATED BUILDING PERMIT# if a plicable): <br /> , ;MECHANICAL:PERINIT APPLICATION PLUMBING-;PERMIT APPLICATI�ON� ' ' <br /> Type of Project: _New _ Addn x Alteration _Repair Type of Project: _New _Addn _Alteration Repair <br /> #of List of Fixtures #�f Lisf of Fi�ctures #�f List of Fixtures #of List of Fi�cfures <br /> Fixfures Fixtures Fintures Fixtures <br /> A/C-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/;SUPPRES ON,;SYS EM : <br /> Number of Hea s 41 <br /> ACKNOWLEDGEMENT:I have reviewed this plication and onfirm the informafion contained herein is true and correct. Work done pursuant to this permit must comply with <br /> current federal,state,and local law. The grantin of a permi only authorizes approved work and no deviations therefrom.Deviafions must first be authorized in writing from the <br /> Building Official before being authorized under an ircu ance.I am the owner,or 1 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 /> PERMI # <br /> � ` 11 lo — C� 6 <br /> O r/Authori Agent Signature Date (Revised 5/20/2016) �_� <br />