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PERMIT APPLICATIO�
<br /> BUILDING/MECHANICAL/PLUMBING/SIGN /SPRINKLER/DEMOLITION
<br /> CITY OF EVERETT PERMIT SERVICES
<br /> 3200 CEDAR STREET,EVERETT,WA 98201
<br /> (P)425-257-8810 � FAX 425-257-8857 �(E)everetteps@everettwa.gov J www.everettwa.gov/permits
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<br /> PROJECT SITE ADDRESS: �sz�eveR�ReeN wav eveRerr,wa.sazos pROPERTY TAX#: ZBoso�ooaoo�oo
<br /> LEGAL for new construction: Short PlaUsubdivision Lot No. (attach copy of long legal description)
<br /> ��.�.��: � ;��,,„-�IT,��T INF�R�VI�TIO�1, ,,,�,�,�� ��. � � , � �
<br /> OWNER NAME: COLUMBIA CASCADE PLAZA LLC TENANT NAME(If Commercial): PL°'NET FiT"Ess
<br /> OWNER MAILING ADDRESS: srReeT
<br /> cirv STATE ziP
<br /> OWNER PHONE: OWNER EMAIL:
<br /> CONTRACTOR NAME: COSCO FIRE PROTECTION
<br /> CONTRACTOR ADDRESS: srReeT 4308 S 131ST PLACE
<br /> CITY TUKWILA � STATE WA Z�P 98168
<br /> CONTRACTOR PHONE: 2os-ass-sasa CONTRACTOR EMAIL: NiKKi'°@coscoFiRe.conn
<br /> CONTRACTOR LICENSE#(REQUIRED): coscoFP��oNnn CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 024�64
<br /> PRIMARY CONTACT: ❑OWNER CONTRACTOR ❑OTHER(Please Specify)
<br /> CONTACT NAME: NIKKt ANDERSON CONTACT PHONE: Zos-asa-assa �
<br /> CONTACT EMAIL: NIKKIA@COSCOFIRE.COM
<br /> .''���;�.,�:�k`�:�fl',�- ��� __n��.,>§�;�"���-`�-�',ut' �a.�.<.- .:k. ��v � _�4������� .—,f�iR.������� �'c.'����;�va� ���i����+�;���`'�.'<ry�" -E`�.:
<br /> Existin Use of Building: Contract Price of Work:$ 11,316.00
<br /> Proposed Use of Building: Heat Source: ❑Gas ❑Electric ❑Other
<br /> Buildin T pe: ❑SFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family�of Units: ommercial ❑Industrial
<br /> Type of Project: ❑New ❑Addition ❑Remodel ❑Repair ❑T.I. ❑Sign prinkler ❑Demolition ❑Change of Use
<br /> DESCRIPTION OF WORK:
<br /> ADD 25 PENDENT SPRINKLERS TO CONFORM TO TENANT IMPROVEMENT
<br /> B1702-001
<br /> ASSOCIATED BUILDING PERMIT# if a licable:
<br /> ¢��;�;11� G����C'��►. ,�1� �,a�`�1�I���ATlO�:�,���''� � �.: �� �:���'�'�J]lrl��,N.�+,�'�P;�M�T��A,1��..,�. �°,��"������.��..� � �����'
<br /> Type of Project: _New Addn _Alteration _Repair Type of Project: _New Addn _Alteration _Repair
<br /> #of Ust of Fixtures #°f List of Fixtures #of /rst of Fixtures #of List of Fixtures
<br /> Fi�ctures Fixtures Fixtures Fi�ctures
<br /> A/C—Air Handlin Units Heat Pump Toilet Backflow Preventer(Inside Bidg)
<br /> Forced Air S stems Unit Heater Bathtub Urinal
<br /> Gas Piping Boiler Lavatory(Wash Basin) Drinking Fountain
<br /> Water Heater Refrigeration Shower Fioor Drain
<br /> Gas Fireplace Wood Stove Kitchen Sink&Disposal ' Grease Trap
<br /> Gas Range Ducting Dishwasher Roof Drains
<br /> Ciothes Dryer Hookups Other: Clothes Washer Medical Gas
<br /> Range Hood Water Heater Other:
<br /> Exhaust Fan Sink(Service/BadMop/etc.) Other:
<br /> �SPRIN�C�.ER'1 S� ' .;;. E 'SIO ;SYSTEI(A s .,.>;
<br /> wATER Chemical or Water 25 No.of Heads
<br /> ACKNOWLEDGEMENT.•I have re 'ewed this appli tion 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. e granti of a permit only authorizes approved work and no deviations therefrom.Deviations must flirst be authorized in writing from the
<br /> Building O�cia/before being authorize er 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 comp/y with the State Contractors Law 18.27 RCW and 296.200A WAC.
<br /> City of Everett O�cia/Use Only
<br /> l PE M #��
<br /> � ``� " l�
<br /> Owner/Authorized gent ignature Date (Revised 9/23/2016)
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