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PERMIT APPLICATIO1T <br /> BUILDIN�CHANICAL/ PLUMBING / SIGN ' mRINKLER/ DEMOLITION <br /> � � CITY OF EVERETT PERMIT SERVICES <br /> I'A' 3200 CEDAR STREET, EVERETT,WA 98201 <br /> v�wl (P)425-257-8810 I FAX 425-257-8857 1(E)everetteps everettwa. ov www.everettwa. ov/ ermits <br /> @ 9 I 9 P <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 ZIP 98065 <br /> OWNER PHONE: 425-888-2993 OWNER EMAIL:/rish@mkps.net <br /> CONTRACTOR NAME: VC%t <br /> CONTRACTOR ADDRESS: STREET <br /> CITY / STATE ZIP <br /> CONTRACTOR PHONE: CONI RACTOR EMAIL: <br /> CONTRACTOR LICENSE#(REQUIRED): 6412A 9(4 P / CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): / /) l(AA <br /> PRIMARY CONTACT: 0 OWNER 0 CONTRACTOR V' 0/HE'\,'lease Specify) Alan J Plutowski Architect <br /> CONTACT NAME: / CON 1 ":IT PHONE: 763-533-7171 x 14 <br /> Dan Cayemberg • N`\.r T EMAIL: dca ember tw architects.Com <br /> / Y 9@ p <br /> BU DI P,- ` MIT APPLICATION <br /> Existing Use of Building:Vacant Office at <br /> Contract Price of Work: . 7 4, 41 rDDr�. <br /> Proposed Use of Building: Retail work shoe & oot .o -s" Heat Source: ❑Gas 0Electric ❑Other <br /> Building Type: ❑SFR-Detached ❑SFR-Attac, d\ ■'`k 0lex ❑Multi-Family-#of Units: I7Commercial ❑Industrial _ <br /> Type of Project: ❑New ❑Addition ❑Rem.del ► -ep.lr VITA. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use <br /> DESCRIPTION OF WORK: / <br /> Interior remodeling of existing tenant s•=ce for a new retail tenant'I ,•'•. '44' -: m- - . , • -••. • --. : - = . • . <br /> ASSOCIATED BUILDING PERMIT# /applicable): <br /> MECHANICAL PERM ,' APPLICATION PLUMBING PERMIT APPLICATION <br /> Type of Project: New — Add I/_Alteration _Repair Type of Project: New _Addn _Alteration _Repair <br /> #of I List of Fixtures #of • t of Fixtures #of List of Fixtures #of Lis ixtures <br /> Fixtures Fixtures Fixtures Fixtures <br /> o A/C—Air Handling Units 0 Heat Pump 0 Toilet 0 Bac Preventer(Inside Bldg) <br /> 0 Forced Air Systems 0 Unit Heater 0 Bathtub 0 inal <br /> 0 Gas Piping . Boiler 0 Lavatory(Wash Basin) 0 Drinking Fountain <br /> 0 Water Heater 0 Refrigeration 0 Shower Floor Drain <br /> 0 Gas Fireplace 0 Wood Stove 0 Kitchen Sink&Dispos 0 Grease Trap <br /> 0 Gas Range 0 Ducting 0 Dishwasher 0 Roof Drains <br /> 0 Clothes D -r Hookups 0 Other: 0 Clothes Was r' 0 Medical Gas <br /> 0 Range • .od 0 0 Water He r 0 Other: <br /> 0 Exh st Fan 0 0 Sink rvice/Bar/Mop/etc.) 0 Other: <br /> 0 0 0 <br /> PRINKLER/SUPPRESSION SYSTEM o `` o <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 /> ‘0.,, August 2, 2018 PER i9y-)t --oo __A <br /> OwnerlAuthoriz ent Signature Date (Revised�9/23/2016) Q12) <br />