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0j14717 PERMIT APPLICATION <br /> BUILDING/MECHANICAL/PLUMBING /SIGN /SPRINKLER/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( www.everettwa.gov/permits <br /> (Blue or Black Ink,Only Please) ° PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS: 6605 HARDESON RD. STE 110 PROPERTY TAX#: 0211904 <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME: HOGLAND TRANSFER CO INC TENANT NAME(If Commercial): HOGLAND TRANSFER <br /> OWNER MAILING ADDRESS: STREET 6605 HARDESON RD. STE 101 <br /> CITY EVERETT STATE WA ZIP 98203 <br /> OWNER PHONE: OWNER EMAIL: <br /> CONTRACTOR NAME: UNIVERSAL REFRIGERATION <br /> CONTRACTOR ADDRESS: STREET 4102 B PL. NW. <br /> CITY AUBURN STATE WA ZIP 9 8 0 01 <br /> CONTRACTOR PHONE: (253) 939-5501 CONTRACTOR EMAIL: DES IGN@UNIVERSALREFRIG.COM <br /> CONTRACTOR LICENSE#(REQUIRED): UNIVERI159RF CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 027645 <br /> PRIMARY CONTACT: 0 OWNER ®CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: (253) 939-5501 <br /> AIDAN WILSON CONTACT EMAIL: DESIGN @UNIVERSALREFRIG.COM <br /> BUILDING-PERMIT APPLICATION ... <br /> Existing Use of Building: WAREHOUSE Contract Price of Work:$ 6,500.00 <br /> Proposed Use of Building: Heat Source: IXGas ❑Electric ❑Other <br /> Building Type: ❑SFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units: El Commercial ❑Industrial <br /> Type of Project: ❑New ❑Addition ERemodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use <br /> DESCRIPTION OF WORK: DISCONNECT EXISTING GAS AND RE ROUTE IT TO (1) NEW GAS UNIT HEATER. <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 1 Unit Heater Bathtub _ Urinal <br /> 1 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,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 /> PER \ ,ten <br /> - 11/20/18 Il — w ,1►(,) <br /> Owner/Authorized Agent Signature Date (Revised 9/23/2016) <br />