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PERMIT APPLICATI BUILDIt I MECHANICAL/ PLUMBING /SIGFSPRINKLER/DEMOLITION igETT CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET,EVERETT,WA 98201 (P)425-257-8810 I FAX 425-257-8857 I(E)everetteps@everettwa.gov I www.everettwa.gov/permits (Blue or Black Ink Only Please) �Lf1 PROJECT SITE INFORMATION PROJECT SITE ADDRESS45901- °ri�ea ,-Everett,WA 98203 PROPERTY TAX#: 28041200300400 LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: BP Products North America, Inc. TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET 30 South Wacker Drive CITY Chicago STATE IL ziP 60606 OWNER PHONE: (530)621-0770 OWNER EMAIL: scott.listar@bp.com CONTRACTOR NAME: Saybr Contractors, Inc. CONTRACTOR ADDRESS: STREET 3852 S 66th Street CITY Tacoma STATE WA ZIP 98409 CONTRACTOR PHONE: (253)531-2144 CONTRACTOR EMAIL: agrindle@saybr.com CONTRACTOR LICENSE#(REQUIRED): SAYBRCI033L7 CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 33082 PRIMARY CONTACT: 0 OWNER 'CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: Amanda Grindle, Permit Coordinator CONTACT PHONE: (253)531-2144 Ext. 103 Saybr Contractors, Inc. CONTACT EMAIL: agrindle@saybr.com BUILDING PERMIT APPLICATION Existing Use of Building: Gas Station Contract Price of Work:$100,000.00 Proposed Use of Building: No Change Heat Source: ❑Gas ❑Electric) ❑Other Building Type: ❑SFR-Detached ❑SFR-Attached Duplex ❑Multi-Family-#of Units: Commercial ❑Industrial Type of Project: ID ❑Addition ❑Remodel >lORepair ❑T.I. ❑Sign OSprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: Replace four existing fuel dispensers at BP Arco Gas Station. ASSOCIATED BUILDING PERMIT#(if applicable): MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLI ATION Type-of Project: _New _ Addn _Alteration _Repair Type of Project: New _Addn Al ration _Repair #of List of Fixtures #of List of Fixtures #of List of Fixtures #of List of Fixtures Fixtures Fixtures Fixtures Fixtures NC—Air Handling Units Heat Pump Toilet Backflow Preventer(Inside Bldg) Forced Air Systems Unit Heater Bathtub Urinal — Gas Piping Boiler Lavatory(Wash Basin Drinking Fountain Water Heater Refrigeration Shower Floor Drain Gas Fireplace Wood Stove Kitchen Sink&Disposal Grease Trap Gas Range Ducting Dishwasher Roof Drains Clothes Dryer Hookups Other: Clothes Washer edical Gas __ _— Range Hood Water Heater Other: Exhaust Fan Sink(Service/Barb)-s/etc.) Other: SPRINKLER/'SUPPRESSION SYSTEM (Chemical or Water ' No.of Heads 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 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 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, and I comply with the State Contractors Law 18.27 RCW and 296.200A WAC. City of Everett Official Use('Onn/y ?9" ------ 03/17/2017 P l t-dS 0L V ner/Authorized Agent Signature Date (Revised 9/23/2016)