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PERMIT APPLICATION <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� www.everettwa.gov/permits <br /> i:,.,,, , 3 ,�... , .,_,,,. .. _ .. <br /> �ta�r Bl��k t�`i��l P��... : PM��!,�� ,,': „IT� IN�ORMATM�N►�...: „ <br /> PROJECT SITE ADDRESS: 2000 H EWITT AVE RROPERTY TAX#: 9�-Z'I Z59ZO <br /> LEGAL for new construction: Short PlaUsubdivision Lot No (attach copy of long legal description) <br /> GONTACT INFORMATION <br /> owNER Nanne: EVERETT PUBLIC FACILITIES TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: srReer 2000 HEWITT AVE, SUITE ZOO <br /> �,n EVERETT STATE WA Z�P 98201 <br /> OWNER PHONE: 4Z�J-3ZZ-ZCHO OWNER EMAIL: MARK_CLARK2@COMCASTSPECTACOR.COM <br /> CONTRACTOR NAME: OWNER <br /> CONTRACTOR ADDRESS: sTReeT <br /> CITY STATE ZIP <br /> CONTRACTOR PHONE: CONTRACTOR EMAIL: <br /> CONTRACTOR LICENSE#(REQUIRED): CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): <br /> PRIMARY CONTACT: aJ OWNER ❑CONTRACTOR ❑OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 425-322-2680 <br /> MARK CLARK CONTACT ennAl�: MARK_CLARK2@COMCASTSPECTACOR.COM <br /> BU1L�#��t�'a�RM T AP'��,ICATION . <br /> Existin Use of Buildin : SPORTS ARENA Contract Price of Work: $2000 <br /> Pro osed Use of Buildin : Heat Source: ❑Gas ❑Electric ❑Other <br /> Buildin T e: ❑SFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Famil -#of Units: ❑Commercial ❑Industrial <br /> T e of Pro ect: ❑New ❑Addition ❑Remodel ❑Re air ❑T.I. ❑Si n ❑S rinkler �Demolition ❑Chan e of Use <br /> DESCRIPTION OF WORK: <br /> PARTICIAN THE SILVERTIPS MARKETING OFFICE,ADD A DOORWAY AND DOOR TO ENCLOSE AN AREA FOR A SINGLE WORKSTATION. <br /> ASSOCIATED BUILDING PERMIT#(if a licable : <br /> MECHANICAL P�RMlT'APPi.ICATION PCUMBINt�RERMIT APPLICATION <br /> Type of Project: _New _ Addn _Alteretion _Repair Type of Project: _New _Addn Alteration _Repair <br /> Fixtures List of Fi�rtures Fi tu es List of Fixtures #of List of Fixtures #of List of Fixtures <br /> Fixtures Fi�rtures <br /> A/C—Air Handlin Units Heat Pump Toilet Backflow Preventer(Inside Bld ) <br /> Forced Air S stems Unit Heater Bathtub Urinal <br /> Gas Pi in Boiler Lavato (Wash Basin) Drinkin Fountain <br /> Water Heater Refri eration Shower Floor Drain <br /> Gas Fire lace Wood Stove Kitchen Sink&Disposal Grease Tra <br /> Gas Ran e Ductin Dishwasher Roof Drains <br /> Clothes D er Hooku s Other: Clothes Washer Medical Gas <br /> Ran e Hood Water Heater Other: <br /> Exhaust Fan Sink(Service/Bar/Mop/etc.) Other: <br /> SPRtNKLER/SUPPR�SStON SYSTEM <br /> Number of Heads <br /> ACKNOWLEDGEMENT.I have reviewed this application and confirm the information contained herein is true and correct. Work done pursuant to this permit must comply with <br /> current federal,state,and/ocal law. The granting of a permit only authorizes approved work and no deviations therefrom.Deviations must first 6e authorized in writing from the <br /> Building Official before being authorized under any circumstance./am the owner,or I am authorized by the owner of this property to pertorm 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 /> PERMIT# <br /> ,�„��<� ���..s� II- z� - f� �1fv11' 213 <br /> OwnerlAuthorized Agent Signature Date (Revised 9/23/2016) <br />