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PERMIT APPLICATION <br /> BUILDING =CHANICAL/ PLUMBING /SIGN / INKLER/ DEMOLITION <br /> "lij:g— <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 or Black Ink Only Please) PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS: 221 Southeast Everett Mall Way, Suite M2 PROPERTY TAX#: 0086397(00480201201200) <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME: Shilla Inc. TENANT NAME(If Commercial): Red Wing Shoes <br /> OWNER MAILING ADDRESS: STREET PO Box 997 <br /> CITY Snoqualmie STATE WA ZP 98065 <br /> OWNER PHONE: 425-888-2993 OWNER EMAIL: trish@mkps.net <br /> CONTRACTOR NAME: • ,D Col DA 0,0kCpitritellit ( J <br /> CONTRACTOR ADDRESS: STREET <br /> CITY STATE ZIP <br /> CONTRACTOR PHONE: CONTRACTO 7'' MAIL: <br /> CONTRACTOR LICENSE#(REQUIRED): ‘C;$164 CA , ; S. 2,,E-,ell CITY OF EVERETT BUSINESS LICENSE#(REQUIRED):'ILL <br /> PRIMARY CONTACT: 0 OWNER 0 CONTRACTOR r,` THE- Please Specify) Alan J Plutowski Architect <br /> CONTACT NAME: i \I r-'•NTACT PHONE: 763-533-7171 x 14 <br /> Dan Cayemberg !j /CONTACT EMAIL: dcayemberg@twparchitects.com <br /> LDING PERMIT APPLICATION- <br /> Existing Use of Building:Vacant Office '\, ' _Contract Price of Work:$7 r �£oQ0,�/ <br /> , <br /> Proposed Use of Building: Retail work ,"Oe & boot sales Heat Source: ❑Gas 0Electric ❑Other <br /> Building Type: ❑SFR-Detached ■ YR-Attached 0 Duplex ❑Multi-Family-#of Units: faCommercial 0 Industrial <br /> Type of Project: ❑New ❑Add''•n ❑Remodel ❑Repair I,aT.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use <br /> DESCRIPTION OF WORK: <br /> Interior remodeling of existing tenant space for a new retail tenant including limited mechanical, • I • .nd el- ' • - • r- ' •. <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 /> o A/C–Air Handling Units 0 Heat Pump 0 Toilet 0 Backflow Preventer(Inside Bldg) <br /> 0 Forced Air Systems 0 Unit Heater 0 Bathtub 0 Urinal <br /> O Gas Piping 0 Boiler 0 Lavatory(Wash Basin) 0 Drinking Fountain <br /> O 1 Water Heater 0 Refrigeration 0 Shower 0 Floor Drain <br /> 0 Gas Fireplace 0 Wood Stove 0 Kitchen Sink&Disposal 0 Grease Trap <br /> 0 Gas Range 0 ( Ducting 0 Dishwasher 0 Roof Drains <br /> 0 Clothes Dryer Hookups 0 Other: 0 Clothes Washer 0 Medical Gas <br /> 0 Range Hood 0 0 Water Heater 0 Other: <br /> 0 1 Exhaust Fan 0 0 Sink(Service/Bar/Mop/etc.) 0 Other: <br /> 0 0 0 <br /> SPRINKLER I SUPPRESSION SYSTEM o 0 <br /> 0 Chemical or Water I 0 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 /> k),,,,,,t___ 4, PERM l � � / n <br /> August 2, 2018 l rO�1 l/ <br /> Owner/Authorized 'Aignature Date (Revised 9/23/2016) I i/, <br />