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PERMIT APPLICATION <br /> BUILDING CHANICAL� / PLUMBING /SIGN /.PINKLER/ DEMOLITION <br /> #.11ALP* <br /> CITY OF EVERETT PERMIT SERVICES <br /> 7 <br /> 3200 CEDAR STREET,EVERETT,WA 98201 <br /> (P)425-257-8810 IFAX 425-257-8857 I E everetteps@everettwa.gov Iwww.everettwa.gov <br /> /permits <br /> (Blue or Black Ink Only.Please) PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS: 725 SE Everett Mall Way PROPERTY TAX#: 28051800305500 <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME: Carpet Liquidators Real Estate LLC TENANT NAME(If Commercial): Carpet Liquidators <br /> OWNER MAILING ADDRESS: STREET 1239 NE 91st <br /> CITY Seattle •STATE WA ZIP 98115 <br /> OWNER PHONE: 206 390 8355 OWNER EMAIL: mikecarpetliquidators@aol.com <br /> CONTRACTOR NAME: Edca InC <br /> CONTRACTOR ADDRESS: STREET 1016 Industry Drive <br /> CITY Tukwila STATE WA ZIP 98188 <br /> CONTRACTOR PHONE: 206 762 7294 CONTRACTOR EMAIL: eduardo@edcaroofing.com <br /> CONTRACTOR LICENSE#(REQUIRED): edcai**126rt CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 58338 <br /> PRIMARY CONTACT: 0 OWNER p CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 206 972 5482 <br /> Eduardo Zambrano CONTACT EMAIL: eduardo@edcaroofing.com <br /> BUILDING PERMIT APPLICATION <br /> Existing Use of Building:Warehouse Contract Price of Work:$ 100,052.00 <br /> Proposed Use of Building: Heat Source: ❑Ga`s ❑Electric ❑Other <br /> Building Type: ❑SFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units: ❑Commercial ❑Industrial <br /> Type of Project: El New ❑Addition El Remodel ❑Repair CIT.!. El Sign ❑Sprinkler ❑Demolition ❑Change of Use <br /> DESCRIPTION OF WORK: <br /> Install new TPO with Polylso cover coard roof system over existing roof (1 layer). <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 /> • <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 /> Chemical or Water I No.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 /> PERMIT#/04g—/ff D o <br /> 2/1 <br /> Owner/ orized Agent Signature Date (Revised 9/23/2016) <br />