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PERMIT APPLICATION <br /> BUILDINC.AECHANICAL / PLUMBING / SIGN ?RINKLER / DEMOLITION <br /> CITY OF EVERETT PERMIT SERVIGuiii <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> (P)425-257-8810 I FAX 425-257-8857 1 (E)everetteps@everettwa.gov 1 www.everettwa.gov/permits <br /> (Blue or Black Ink Only Please) PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS: 2707 Colby Ave Suite #718 PROPERTY TAX#: 00439162500100 <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME: Skotdal Mutual LLC TENANT NAME(If Commercial): Davita Kidney Care <br /> OWNER MAILING ADDRESS: STREET P . 0 . Box 5267 <br /> crn Everett STATE WA ZIP 98206 <br /> OWNER PHONE: OWNER EMAIL: <br /> CONTRACTOR NAME: Wolfe Fire Protection <br /> CONTRACTOR ADDRESS: STREET 17321 Tye St SE Suite B <br /> cm, Monroe STATE WA zip 98272 <br /> CONTRACTOR PHONE: (360) 794-7926 ext 206 CONTRACTOR EMAIL: jodij@wolfefp . com <br /> CONTRACTOR LICENSE#(REQUIRED):WOLFEFP 90 6DD CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 050129 <br /> PRIMARY CONTACT: 0 OWNER 13 CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: Doug Wickman CONTACT PHONE: (360) 794-7926 ext 314 <br /> CONTACT EMAIL: dougw@wolfefp . corn <br /> BUILDING PERMIT APPLICATION <br /> Existing Use of Building: Contract Price of Work: $ 8, 850 . 00 <br /> Proposed Use of Building: Heat Source: ❑Gas DElectric ❑Other <br /> Building Type: ❑SFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units: ®Commercial ❑Industrial <br /> Type of Project: ❑New DAddition DRemodel El Repair ❑T.I. DSign ®Sprinkler ❑Demolition ❑Change of Use <br /> DESCRIPTION OF WORK: <br /> Relocating & deleting pendent fire sprinklers to accommodate the new floor plan <br /> designed & installed to 2013 NFPA 13 & the <br /> ffocity of Everett guidelines . <br /> ASSOCIATED BUILDING PERMIT#(if applicable): S \ vl t — 1 1 <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 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 /> �_SPRINKL R/ SUPPRESSION SYSTEM <br /> `- 20 . Number of Heads <br /> - _ <br /> A KNOWLEDGEME T: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 /> cu rent federal,sta ,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 /> 8u ding Official efore 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 /> an ith the State Contractors Law 18.27 RCW and 296.200A WAC. <br /> l City of Everett Official Use Only <br /> 21 <br /> I l 1 ' 1 PE�#no cO <br /> Ow Authorized A nt Signature Date (Revised 5/20/2016) <br />