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PERMIT APPLICATIOW <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 I(E)everetteps@everettwa.gov I www.everettwa.gov/permits <br /> (Blue or Black•InkOnly Please) PROJECT SITE;INF.ORMNATIO . <br /> PROJECT SITE ADDRESS:2320 California St PROPERTY TAX#: 4378-660-0000-0007 <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> :20 6 N 17A0t 11000401010:;._ <br /> OWNER NAME: Snohomish County PUD TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: STREET 2320 California Street <br /> CITY Everett STATE WA zip 98201 <br /> OWNER PHONE: OWNER EMAIL: <br /> CONTRACTOR NAME: i, � e./ili-H ser t:hl1't <br /> CONTRACTOR ADDRESS: STREET <br /> CITY STATE ZIP <br /> CONTRACTOR PHONE: CONTRACTOR EMAIL: <br /> CONTRACTOR LICENSE#(REQUIRED):''le`'�,.�EN Ne/(1/ i I V 5 CITY OF EVERETT BUSINESS LICENSE#(REQUIRED( O <br /> PRIMARY CONTACT: VI OWNER 0 CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: (425) 783-8651 <br /> Dan Jansen CONTACT EMAIL: DEJansen@snopud.com <br /> :, BU,ILDING PERMIT APPLICATION„ r t, ..,.R.,, <br /> Existing Use of Building: Office Contract Price of Work:$310,000 <br /> • Proposed Use of Building: Office Heat Source: OGas Electric ❑Other <br /> Building Type: ❑SFR-Detached ❑SFR-Attached ODuplex ❑Multi-Family-#of Units: i1Commercial ❑Industrial <br /> Type of Project: ONew ❑Addition ❑Remodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use <br /> DESCRIPTION OF WORK: <br /> Tenant improvements including new offices, conference rooms, finishes, casework, HVAC, plumbing, and electrical revisions. <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> ,, MECHANICAL,PERMIT4APPLICATION,„ , uR. • µ; P1.UMBINNGG PERMIT APPLICATION,V V ,x,,.' ;, <br /> Type of Project: _New _ Addn _Alteration _Repair Type of Project: _New _Addn _Alteration _Repair <br /> #of #of List of Fixtures 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 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-SUPPRESSIONSYSTEM , . <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 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 /> l/ City of <br /> f Everett Official <br /> ficial Use Only <br /> IiiAv <br /> . li i/ l 'l J( ' PERMIT# n ///(�" O ?iO orzed Agent Signature Date <br /> vised 9/23/2016) <br />