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f • <br /> 417-5 x <br /> PERMIT APPLICATION <br /> BUILDING/MECHANICAL/ PLUMBING I 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 1(E)everetteps@everettwa.gov I www.everettwa.gov/permits <br /> (Blue or Black Ink Only Please) PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS:3003 Colby Ave PROPERTY TAX#: cofyif11700/00 0?yo jJ <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 /> CITY 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 /> cnv Kirkland STATE WA ZIP 98034 <br /> CONTRACTOR PHONE: 425-658-1500 CONTRACTOR EMAIL: kent@halvorsonconstruction.com <br /> CONTRACTOR LICENSE#(REQUIRED): LJoctolot M 6 CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 653.,-16, <br /> PRIMARY CONTACT: 0 OWNER 0 CONTRACTOR 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: HOWL, Contract Price of Work:$ 000. 00 <br /> Proposed Use of Building: %kit Heat Source: ❑Gas ❑Electric ❑Other <br /> Building Type: ❑SFR-Detached ❑SFR-Attached ODuplex ❑Multi-Family-#of Units: fACommercial ❑Industrial <br /> Type of Project: ONew ❑Addition ❑Remodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler ODemolition ❑Change of Use <br /> DESCRIPTION OF WORK: 11' MC atwci„,x `,_ F,, 51 t kr i -RoDr. <br /> ASSOCIATED BUILDING PERMIT#(if applicable): 15 1012- t 21 <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 /> INumber of Heads <br /> ACKNOWLEDGEMENT:/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 C,antractors Law 18.27 RCW and 296.200A WAC. <br /> City of Everett Official Use Only <br /> I <br /> l PbPER <br /> M,#I (10 <br /> Owner/A . ed A.-nt Signature <br /> 6-(1.4 <br /> te (Revised 9/23/2016) �� <br />