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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 I FAX 425-257-8857 ((E)everetteps@everettwa.gov I www.everettwa.gov/permits <br /> (Blue or Black Ink Only Please) PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS:2320 California Street, Everett, WA 98201 PROPERTY TAX#: <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME: Snohomish County PUD TENANT NAME(If Commercial): Snohomish County PUD <br /> OWNER MAILING ADDRESS: STREET 2320 California Street <br /> ciTv Everett STATE WA ZIP 98201 <br /> OWNER PHONE: 1 (425) 783-1000 OWNER EMAIL: Jansen, Dan [DEJansen@Snopud.com] <br /> CONTRACTOR NAME: 111) i ---Tiny ,4 <br /> / <br /> CONTRACTOR ADD- SS: ( STREET 9.1 60 ` at <br /> rr �yh ) LQ IT 00. <br /> W�cel STATE 1.,1, ZIP I•-sOJ 6 <br /> CONTRACTOR PHONE: "74L D2)06 CONTRACTOR EMAIL: <br /> CONTRACTOR LICENSE#(REQUIRED): d 544+.5)-.cr3 1 Q JITY OF EVERETT BUSINESS LICENSE#(REQUIRED*BG 1O J <br /> PRIMARY CONTACT: 0 OWNER 0 CONTRACTOR Zl OTHER(Please Specify) Mechanical Engineer <br /> CONTACT NAME: CONTACT PHONE: 425-415-6100 <br /> Lee W. Bogard, PE CONTACT EMAIL: LBOGARD@BOGENG.net <br /> BUILDING PERMIT APPLICATION <br /> Existing Use of Building: Office Contract Price of Work:$ 100,000 <br /> Proposed Use of Building:Office Heat Source: (ZIGas ❑Electric ❑Other <br /> Building Type: ❑SFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units: 4Z1Commercial El Industrial <br /> Type of Project: ❑New ❑Addition 1%7Remodel ❑Repair ❑T.l. DSign OSprinkler ❑Demolition ❑Change of Use <br /> DESCRIPTION OF WORK: <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type of Project: _New _ Addn Alteration _Repair Type of Project: _New _Addn _Alteration _Repair <br /> #of List of Fixtures #of List of Fixtures #°f List of Fixtures #of List of Fixtures <br /> Fixtures Fixtures 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 /f Ducting Dishwasher Roof Drains <br /> Clothes Dryer Hookups / s Other:Fan Powered Clothes Washer Medical Gas <br /> Range Hood VAV Terminal Units Water Heater Other: <br /> Exhaust Fan ( 1 Sink(Service/Bar/Mop/etc. 1 Other:Refrigerator Connection <br /> SPRINKLER/SUPPRESSION SYSTEM <br /> I 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 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 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 comply with the State Contractors Law 18.27 RCW and 296.200A WAC. <br /> City of Everett Official Use Only <br /> PER MIT# <br /> 1 -7-201 7 : . _,.. <br /> Owner/Authorized Agent Signature Date �,� / (Revised 9/23/2016) <br />