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PERMIT APPLICATION <br /> BUILDING/ MECHANICAL/PLUMBING/SIGN /SPRINKLER/ DEMOLITION <br /> y CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET,EVERETT,WA 98201 <br /> (P)425-257-8810 I FAX 425-257-8857 1(E)everetteps@everettwa.gov I www.everettwa.gov/permits <br /> (Blue=or Blacklnk Only'Please) :`,'.,,,:PROJECT SITE INF .RMATION _. -':- .10'4.. .';:,;i--:', ::.--'--!::-Z, <br /> PROJECT SITE ADDRESS: 9900 19th AVE SE PROPERTY TAX#: <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> ', CONTACT INFORMATION ,., 3„_ z . <br /> OWNER NAME: Winco Foods TENANT NAME(If Commercial): Winco Foods <br /> OWNER MAILING ADDRESS: STREET 9900 19th AVE SE <br /> CITY Everett STATE WA ZIP 98208 <br /> OWNER PHONE: OWNER EMAIL: <br /> CONTRACTOR NAME: Refrigeration Unlimited <br /> CONTRACTOR ADDRESS: STREET 5102 20th ST E Suite 102 <br /> CITY Fife STATE WA ZIP 98424 _ <br /> CONTRACTOR PHONE: 253-341-8402 CONTRACTOR EMAIL: bsandquist@ru-inc.com <br /> CONTRACTOR LICENSE#(REQUIRED): REFRIUL826NH CITY OF EVERETT BUSINESS LICENSE#(REQUIRED):052183 <br /> PRIMARY CONTACT: 0 OWNER 'CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: ��y!. 3 LAN —3tCO CONTACT PHONE:253-341-8402 <br /> Bryan Sandquist 6 ilLAN f5fr co CONTACT EMAIL: bsandquist(C7rU-inC.c. <br /> . , w., :tBUILDI,NG PERMIT AP LICA IO . � ..,,.. , . --:‘:',,c.5-... <br /> Existing Use of Building: Contract Price of Work. �k �©� <br /> Proposed Use of Building: Heat Source: CI Gas ❑Electric er <br /> Building Type: ❑SFR-Detached ❑SFR-Attached ODuplex ❑Multi-Family-#of Units: ❑Commercial ❑Industrial <br /> Type of Project: ❑New ❑Addition ❑Remodel ❑Repair CIT.!. ❑Sign ❑Sprinkler ODemolition ❑Change of Use <br /> DESCRIPTION OF WORK: <br /> Relocate 2 cases in bakery alcove and install 1 new case <br /> ASSOCIATED BUILDING PERMIT#(if applicable): -\etAitiCat 1v Y s J <br /> MECHANICALnPERMITAPPLICATION '; . .- 'PLUMBINGPERMITAPPLICATION,, <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 /> 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 I 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/SUPPRESSION SYSTEIII-r: <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 /> 1 5. it/ PE` (] tam D so / <br /> I <br /> 0 r/ t rized Agent Signature ate (Revised 9/23/2016) <br />