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r II PERMIT APPLICATION <br /> �'� BUILDING`: CHANICAL I PLUMBING /SIGN I#14iNKLER/DEMOLITION <br /> 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 at Black ink,Only,Sease).: PRQ4ECI'SITE IN,FARMATIION <br /> PROJECT SITE ADDRESS: 5019 Evergreen Way,Everett,WA 98203 PROPERTY TAX#: 00581900001702 <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> • ' 0014TAtT IN DRMATiQN <br /> OWNER NAME: Bank of America(PM: Debbie Shaw) TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: STREET 2000 Clayton Road,Building"D" <br /> Cm Concord STATE CA zip 94530 <br /> OWNER PHONE: 415.407.1074 OWNER EMAIL: debbie.shaw@am.jii.com <br /> CONTRACTOR NAME: WOLDKQ. ' t <br /> CONTRACTOR ADDRESS: STREET �c 0 Z N �5C cert- , OG <br /> CITY STATE ZIPCi1 <br /> CONTRACTOR PHONE: 2S3 122_f11•J��rAA��j'�'���nCln4,3 CONTRACTOR EMAIL: <br /> CONTRACTOR LICENSE#(RE LIIRED):I !k%r 0 L2 V 1 ., CITY OF EVERETT BUSINESS LICENSE#(REQUIRED):3qv-Ft I <br /> PRIMARY CONTACT: 0 OWNER 0 CONTRACTOR I OTHER(Please Specify) design architect <br /> CONTACT NAME: Jeffrey Schmierer CONTACT PHONE: 510.625.7467 <br /> CONTACT EMAIL: jeffrey_schmier- -=•. er-com <br /> ;< ` ; BUII OING PERMIT'AP LIGATi0 <br /> Existing Use of Building: Business Contract Price of W• :$ <br /> Proposed Use of Building:Business Heat Source: 0 gas ©Electric ■!ther <br /> Building Type: I:SFR-Detached ©SFR-Attached DDuplex :]Multi-Family-#of Units: Commercial Dlndustrial <br /> Type of Project: EINew ©Addition ❑Remodel ❑Repair IRIT.I. ❑Sign DSprinkler GDemolition ©Change of Use <br /> DESCRIPTION OF WORK: <br /> Voluntary ADA upgrade.Update non-compliant millwork and restroom. Upgrade existing accessible parking stalls and nearby <br /> parking to ensure full accessibility compliance. <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> M CH NICAL PER IIT APPL ICAI ION ` ,PLUMBING PERMIT APPLICATION,,s <br /> Type of Project: New — Addn Alteration Repair Type of Project: New _,,Addn _Alteration Repair <br /> #of #of #of #of <br /> List of Fixtures List of Fixtures List of Fixtures List of Fixtures <br /> Fixtures Fixtures Fixtures Fixtures <br /> NC—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 I 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,ort am authorized by the owner of this property to perform the work for which application is made, <br /> and I comply with the State Contract° " 18:27 RCW and 296.200A WAC. <br /> OP City of Everett Official Use Only <br /> PER — <br /> 02-5 I <br /> Ow :r/"(�!rr r'Si nature Date �� <br /> � ��- g (Revised 9/23/2016) <br />