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IE <br /> PERMIT APPLICAM� I <br /> BUILURUG/MECHANICAL/ PLUMBING/SIGN/SPRINKLER/ DEMOLITION <br /> ^/1111PA'/SV/ ,^ 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 Ink Only Please) PROJECT SITE INFORMATION a <br /> PROJECT SITE ADDRESS: 3003 Colby Ave PROPERTY TAX#: LO'('1 l?09100 (R i c J) <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME: Touchstone Everett Hotel LLC TENANT NAME(If Commercial): Courtyard by Marriott Hotel <br /> OWNER MAILING ADDRESS: STREET 2025 First Ave, Suite 1212 <br /> circ Seattle STATE WA ZIP 98121 <br /> OWNER PHONE: 206-727-2393 OWNER EMAIL: jpolito@touchstonenw.com <br /> CONTRACTOR NAME: Halvorson construction Group LLC <br /> CONTRACTOR ADDRESS: STREET 12515 Willows Rd NE, Suite 220 <br /> CITY Kirkland STATE WA ZIP 98034 <br /> CONTRACTOR PHONE: 425-658-1500 CONTRACTOR EMAIL: kent@halvorsonconstruction.com <br /> CONTRACTOR LICENSE#(REQUIRED): ' I.VOG&'7OM4P CITY OF EVERETT BUSINESS LICENSE#(REQUIRED):05•Wi(p <br /> PRIMARY CONTACT: 0 OWNER 0 CONTRACTOR ,3 OTHER(Please Specify) Architect <br /> CONTACT NAME: CONTACT PHONE: 206-766-8300 <br /> Jeff Williams CONTACT EMAIL:jeffw@johnsonbraund.com <br /> BUILDING PERMIT APPLICATION <br /> Existing Use of Building: tom,. e'Contract Price of Work:$ ( 000. 00 <br /> Proposed Use of Building: /Vie Heat Source: OGas I:Electric ❑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: MA 2 NOtO NC_ _0, C/, AT <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 #of 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(SUPPRESSION SYSTEM <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•tractors Law 18.27 RCW and 296.200A WAC. <br /> I <br /> i <br /> City of Everett Official Use Only <br /> r 101 PERMIT ( <br /> 16® I 0 ayl <br /> Owner/ . ized Agent Signature Dat (Revised 9/23/2016) <br /> C(y <br />