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PERMIT APPLICATION e <br /> BUILDING � IIIECHANICAL/ PLUMBING /SIGN / SF'RINKLER/ 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 /> (Blue or Black ink Only Pleasej PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS: 6600 Merrill Creek Parkway-Suite 201 PROPERTY TAX#:28040200301200 <br /> LEGAL for new construction: Short PlaUsubdivision Lot No. (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME: S@aWay LOt ZC LLC TENANT NAME(If Commercial): eagUe <br /> OWNER MAILING ADDRESS: srREer P.O. BOX 60051 <br /> �,�, Shoreline STATE WA Z,�98160 <br /> OWNER PHONE: 206-5 OWNER EMAIL: perennlalpt'OpeCt12S@COt71CciSt.,11@t <br /> CONTRACTOR N E: OWII@C � <br /> CONTRACTOR DRESS: ,.eT�ieer <br /> cilv STATE ziP <br /> CONTRACTOR PHONE: CONTRACTOR EMAIL: �� �` <br /> -�-�= <br /> CONTRACTOR LICENSE#(REQUIRED): CITY OF EVERETT BUSINESS LICENSE#(REQUI�D): <br /> PRIMARY CONTACT: �1 OWNER ❑ CONTRACTOR ❑ OTHER(Please Specify) _ <br /> CONTACT NAME: DeWaln GaUIItIGtt coNTacT PHONe: 425-931-4901 <br /> coNracT Enna��:dgauntlett�«teague.com <br /> BUILDING PERMIT APPLICATION <br /> Existing Use of Buildin : MFG Contract Price of Work: $ 2�J ��� <br /> Proposed Use of Buiiding: Heat Source: ❑Gas C�lectric ❑Other <br /> Buildin Type: ❑SFR-Detached ❑SFR-Attached ❑Du lex ❑Multi-Family-#of Units: �1Commercial ❑Industrial <br /> Type of Project: ❑New ❑Addition ❑Remodel ❑Repair �T.I. ❑Si n ❑Sprinkler ❑Demolition ❑Change of Use <br /> DESCRIPTION OF WORK: Wa��S fOC StUCIlO SpaC2 - T21gU@ <br /> ASSOCIATED BUILDING PERMIT# if a plicable : <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type of Project: New Addn Alteration Repair Type of Project: New Addn _Alteration _FSepair <br /> #of #of :� #of #of ° <br /> List of Fixtures List of Fi�tnfes List of Fixtures �:isf of Fixtures <br /> Fixfures Fixtures Fixtures Fixtures <br /> A/C-Air Handlin Units He �Pump Toilet Baek�low Preventer(Inside Bld ) <br /> Forced Air Systems > CJnit 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 Tra� <br /> Gas Range Ducting Dishwasher Roof Drains <br /> Clothes D e ookups Other: Clothes Washer Medical Gas <br /> Range H Water;hfeater Other: <br /> Exhaust`Fan Sinit'(Service/Bar/Mop/etc. Other: <br /> /,> <br /> SP INKLER/ SUPPRESSION SYSTEM �'� <br /> Chemical or Water No.of Heads <br /> ACKNOWLEDGEMENT:I have reviewed this application and confrm the information contained herein is true and correct. Work done pursuant to thrs pennit 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 authorizod in writing from the <br /> Building O�cial 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 irohich 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 Oniy <br /> PERMI <br /> � _ �• �v✓ �- �/�<��/� t �< < '��� �� <br /> Owner/Authorized Agent Signature � Date (Revised 9/23/2096) <br />