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� Building #990 � <br /> I'I' PERMIT APPLICATIOI� <br /> BUILDING /I�fECHANICAL/PLUMBING /SlGN ��INKLER/ DEMOLITfON <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET,EVERETT,WA 98201 <br /> (Pj 425-257-8810 � FAX 425-257-$857 �{E}everetteps@everettwa.gov( www.everettwa.govlpermits <br /> (Blue or Black lnk Gnly Piease} PROJECT StTE INFORMATION <br /> PRWECT SITE ADDRESS: 9OO W GaSIC10 RD, Everett, WA 982Q4 PROPERTY'fAX#: 003�Z�O000040'I <br /> LECaAL fw new construction: Sfiort Plat/subdivision Lot No. (attach copy of Iong legal description) <br /> CONTACT lNFORMATION <br /> OWNER NAME: Trailside Preservation LP TENANT NAME(if Commercial): <br /> OWNER MAILING ADDRESS: S,�E� 21515 Hawfhorne BLVD. Suite 390 <br /> �,� Torrance STATE WA Z� 90503 <br /> OWNER PHONE: 310-802-E6HZ OWNER EMAIL: Nick Preservation artners.or <br /> coNTr�►croR aan�e: Ho{mberg Company <br /> CONTRACTOR ADDRESS: srnEer 1128 8th st <br /> �� Kirkland STA� WA Z� 98033 <br /> CONTRACTOR PHONE: CONTRACTOR EM�tIL: <br /> CONTRAC70R LICENSE#{REQUIREDj: HOLMBC*066ME CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): �rJ�OO� <br /> PRIMARY CONTACT: ❑OWNER �CONTRACTOR ❑dTHER(Please Specify) <br /> CONTACT NAME: JaCOI� KI@I11 CONTACT PHONE: 42rj..6�2-7;j7� <br /> coNracr eMa�: JacobK@hotmber co.com <br /> BUILDING PERMIT APPLICATION <br /> Existin Use of Buildin : Contract PNce of Work:S 1400 <br /> Pro sed Use of Buildin : Heat Source: ❑Gas ❑Electric �Other <br /> Buildin T : ❑SFR-Detached ❑SFR-Attached ❑Du lex ❑Mul#i-Famil -#of Units: DCommercial ❑Industrial <br /> T e of Pro'ect: �New OAddition ❑Remodel ClRe air ❑T.I. OSi n OS rinkler ❑Demolition ❑Chan e of Use <br /> DESCRIPTION OF WORK: �L���� ��� �i�!,�.R� �h4� ��q l S. � ���°� <br /> Gh�.'��. � � <br /> ASSOCIATED BUILDING PERMIT# if a licable : <br /> MECHANICAL PERMIT APPLICATIOI�1 PLUMBING PERMIT APPLICATION <br /> Type of Project: New Addn X Alteratfon _„_Repaf► Type oY Proje�t: _New _Addn Alteratlon _Repafr <br /> #of List of Fixtures #of �st of Fixtures *of List of Flxtures �of tist of Ffictures <br /> Ffxtures Fixtures F/xtures FGrtures <br /> AJC—Ai�Handlin Units Heat Pump Toilet Backflow Preventer Inside Btd <br /> Forced Air S tems Uni�Heater Bathtub Urinal <br /> Gas Pi in Boiler Lavato ash Basin Drinkin Founfain <br /> Water Heater Refri eration Shower Floor Drain <br /> Gas Fireplace Wood Stove Kitchen Sink 8�Dis osal Grease Tra <br /> Gas Ran e Duetin Dishwasher Roof Drains <br /> Clothes D er Hooku s Other. Clothes Washer Medical Gas <br /> Ran e Nood Water Heater Other: <br /> Exhaust Fan Sink(ServiceBar/Mo /etc. Other: <br /> SPRINKLER!SUPPRESSION SYSTEM <br /> Chemical or Water No.of Heads <br /> ACKNOWLEDGEMENT.•I have reviewed thls applfcation and confirm the informatlon contalned herein Is tnte and correct.Work done pursuani to ihis permit must comply wkh <br /> curreni fedetaf,state,end loca!lew.The granting of a permit only authoHzes approved work and no deviations therefrom.Devlations mus!Brst be eathorized in writing fiwn the <br /> Building 0/hcial before being authorized under any aircumstance.t am the owner,or 1 am aulhorized by the owner of thls property to periorm the woiJc for whlch application is made, <br /> and 7 comply with the State Contractors Law 18.27 RCW and 296.200A WAC. <br /> City of Everett Officiat Use Onty <br /> �/�/'� PER IT# r � �S <br /> ! ,� J <br /> OwnedAuthorized AAent Sipnature Date fRevised 9/23,/2096) <br />