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01477 F'tKMI I APPLIL:A I IVI^ <br /> BUILDING IIIECHANICAL/PLUMBING/SIGN LI RINKLER/DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> (P)425-257-8810 1 FAX 425-257-8857 1(E)everetteps@everettwa.gov 1 www.everettwa.gov/permits <br /> PROJECT SITE ADDRESS: PROPERTY TAX#: 00439079602800 <br /> 3310 McDougall Ave, Everett,WA 98201 <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> CONTACT.INFORMATION <br /> OWNER NAME: Everett Manor Building LLC TENANT NAME(If Commercial): Manor Hardware <br /> OWNER MAILING ADDRESS: STREET 2814 Rucker Ave <br /> CITY Everett sTATEWA zip98201 <br /> OWNER PHONE: 206-719-5059 OWNER EMAIL:rob@manorhardware.com <br /> CONTRACTOR NAME: Northwest Handling Systems <br /> CONTRACTOR ADDRESS: STREET)100 SW 7th St <br /> erryRenton sTATEWA ZIP 98057 <br /> CONTRACTOR PHONE: 425-919-3597 CONTRACTOR EMAIL: neilm@nwhs.com <br /> CONTRACTOR LICENSE#(REQUIRED): NORTHWH275JF CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 011598 <br /> PRIMARY CONTACT: 0 OWNER ©CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE:425..919-3597 <br /> Neil Montague CONTACT EMAIL: neilm@nwhs.com <br /> BUILDING PERMIT APPI4 TION , <br /> Existing Use of Building:Warehouse Contract Price of Work:$ $22,039.00 <br /> Proposed Use of Building:warehouse Heat Source: ®Gas ❑Electric ❑Other, <br /> Building Type: ❑SFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units: ElCommercial ❑Industrial <br /> Type of Project: ❑New ❑Addition ❑Remodel ❑Repair DTA. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use <br /> DESCRIPTION OF WORK: <br /> Install Pallet Racking <br /> ASSOCIATED BUILDING PERMIT#(if applicable): 1 n -f)t <br /> �-�:..-., <br /> ME�'iI A" AL PERIV�IT�APPI 1 MA ION:,;i !'.. � .,1,.r," t.,PLUMB,ITIC�ia 14 �T lPP1zLIaG'.I G a N a :M <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 /> 'SP'RINKLER/ OPP,RESSION <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 amlauthorized by the owner of this property to perform the work for which application is made, <br /> and I comply with the to Contractors Law 18.27 RCW and 296.200A WAC. <br /> 41, PE . IT <br /> City of Everett Official Use Only <br /> .' '/��,� 6/28/17 go� -7452 <br /> v� <br /> Owner/Auth•rized Agent Signature Date (Revised 10/12/2015) i/�� <br />