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;� `)�r.mn?r <br /> 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� wv�rw.everettwa.gov/permits <br /> (Blue or Black Ink Only Please) PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS: 3402 McDougall Ave, Everett, WA 98201 PROPERTY TAX#:00937381701700 <br /> LEGAL for new construction: Short PlaUsubdivision Lot No. (attach copy of long legal description)..- <br /> CONTACT INFORMATION <br /> OWNER NAME: Snohomish County Public Works TENANT NAME(If Commercial • nohomish County Public Wo�� <br /> OWNER MAILING ADDRESS: sTReeT 3000 Rockefeller Ave, MIS 607 �__._--' <br /> c�rr Everett sTnTE WA ziP98201 <br /> owNER PHONE: 425-388-3488 Lynn Gray OWNER EMAIL: <br /> CONTRACTOR NAME: To be determined after bid. '� <br /> CONTRACTOR ADDRESS: srREET <br /> cirv ,�,_ �O�j �o �sT e ziP <br /> CONTRACTOR PHONE: CONTRACTOR EMAIL: <br /> CONTRACTOR LICENSE#(REQUIRED): � CITY OF EVERETT BUSINESS LICENSE#(REQUIRE <br /> PRIMARY CONTACT: ❑ OWNER ❑ CONTRACTOR �OTHER(Please Specify) En ineerin Firm <br /> CONTACT NAME: CG Engineering -Aron De Los Angeles CONTACT PHONE:42 -778-8500 _____.__ <br /> CONTACT E A��: arond@cgengineering.com '� 1 _- <br /> BUILDING PERMIT APPLICATION <br /> Existing Use of Building: Heavy commercial-light industrial Contract Price of Wo �$ 131,580 <br /> Proposed Use of Building: Heavy commercial-light industrial Heat Source: ❑Gas - -lecfric ❑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 ❑Sprinkler ❑Demolition ❑Change of Use <br /> DESCRIPTION oF WORK:Removal of window and partial wall for addition of roll-up door and new dock buffer. Removal of wall for <br /> widening of access door. Interior wall remodelling-afld-acid+�ion,.p#-interior partition. Concrete floor repair. Total SQFT is 2,638. <br /> ::(��,-�--�-- _ -��\�--- <<.�en�r uvG.0 c�an�-e 1�+�� . <br /> -_ _' e ��-��T� '" �rt���`��,`„� ,�, -i „ •� 5 . .. . R � . �,.�`,�- ;'���� <br /> ASSOCIATED BUILDIN PERMIT#(if applicable): '^ --';� <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type of Project: _New _ Addn X Alteration _Repair Type of Project: _New _Addn _Alteration _Repair <br /> #of List of Fixfures #�f Lisi of Fixtures #of List of Fixtures #°f List of Fixtures <br /> Fixtures Fixiures Fixtures 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/SUPPRESSION SYSTEM <br /> Chemical or Water No. of Heads <br /> ACKNOWLEDGEMENT.1 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 local law. The granting of a permit only authorizes approved work and no deviations therefrom.Deviations must first be authorized in writing from the <br /> Building Officia!before being authorized under any circumstance. 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 /> �'i� � PER���� �S�l <br /> , '_" <br /> Owner/Authorized Agent Signature Date (Revised 9/23/2016) <br />