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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 /> ,:..., , <br /> ��Mc���r��.;�iacl€�'n�l�nliy�?��a�+�} ', .33 a� ,: PROJ��T'��TE IN��lRN[AT1�N ; , <br /> PROJECT SITE ADDRESS: 2000 HEWITT AVE PROPERTY TAX#: 9�-2�259ZO <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> 4'.4NT�i�"1' 11�1�(�RMATIUN <br /> owNeR N,annE: EVERE TT PUBLIC FACILITIES TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: sTREer 2000 HEWITT AVE SUITE 200 <br /> �,n EVERETT STATE WA Z,P <br /> 98201 <br /> OWNER PHONE: 425-3Z2-2680 OWNER EMAIL: rT1aCIC_Clal"I(Z q�C011lCaStSp@CtaCOC.001'1"1 <br /> CONTRACTOR NAME: OV�INER <br /> CONTRACTOR ADDRESS: sTrzeer <br /> CITY STATE ZIP <br /> CONTRACTOR PHONE: CONTRACTOR EMAIL: <br /> CONTRACTOR LICENSE#(REQUIRED): CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): <br /> _ <br /> PRIMARY CONTACT: �OWNER ❑CONTRACTOR ❑OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 4Z�J-322-2680 <br /> MARK CLARK coNT,acT Ennai�: mark_clark2@comcastspectacor.com <br /> ._ <br /> ,. , .. 8�����I�lG PERM�`C',ARPLICAT��lt�1 -- _ <br /> Existing Use of Building: SPORTS ARENA Contract Price of Work:$ 1700.00 <br /> Proposed Use of Buildin : Heat Source: ❑Gas ❑Electric ❑Other <br /> Building Type: ❑SFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units: ❑Commercial ❑Industrial <br /> T pe of Pro ect: ❑New ❑Addition ❑Remodel ❑Repair ❑T.I. ❑Si n ❑Sprinkler ❑Demolition ❑Chan e of Use <br /> �EscRiPrioN oFwoRK: CONVERT AN ALCOVE IN THE ARENA LOCKER ROOM HALLWAY TO A STORAGE <br /> CLOSET. (INSTALL A 3' x 7' STEEL DOOR, BRICK IN WITH HOLLOW BLOCK). <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> MECHI#N1CAL P�RM1T APPLICAT1�111 ' PL1�lMBING P�RMIT APFLICATI�N <br /> Type of Project: _New _ Addn Alteration Repair Type of Project: _New Addn Alteration Repair <br /> Fiatures List of Fixtures Fixtures List of Fixtures #of List of Fixtures #of Lisf of Fixtures <br /> Fixtures Fixtures <br /> A/C—Air Handlin Units Heat Pump Toilet Backflow Preventer(Inside Bldg) <br /> Forced Air S stems Unit Heater Bathtub Urinal <br /> Gas Pipin Boiler Lavatory(Wash Basin) Drinkin Fountain <br /> Water Heater Refri eration Shower Floor Drain <br /> Gas Fireplace Wood Stove Kitchen Sink&Disposal Grease Trap <br /> Gas Ran e Ducting Dishwasher Roof Drains <br /> Clothes D er Hookups Other: Clothes Washer Medical Gas <br /> Ran e Hood Water Heater Other: <br /> Exhaust Fan Sink(Service/Bar/Mop/etc.) Other: <br /> SPRIt+1K1.BR/��lPPRESSI+�N �iYSTEM : <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 comp/y with <br /> current federal,state,and local law. The granting of a permit on/y authorizes approved work and no deviations therefrom.Deviations must first be authorized in writing from the <br /> Building Official before being authorized under 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 Official Use Only <br /> PERMIT# <br /> ��1,�.�- C��� r � - �� vC� � (� li� o �g <br /> Owner��thorized Agent Signature Date (Revised 5/20/2016) <br /> _ ��' � <br />