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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 I FAX 425-257-8857 1(E)everetteps©everettwa.gov I www.everettwa.gov/permits <br /> (Blue or Black Ink Only Please) PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS: 1505 112th St SW PROPERTY TAX#: 004429-003-014-00 <br /> LEGAL for new construction: Short Plat/subdivision Fairmount Lot No. 14'16.16 (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME: Agbar Technologies, Inc. TENANT NAME(If Commercial): Applus Technologies, Inc. <br /> OWNER MAILING ADDRESS: STREET 444 NE Michigan Ave, Ste 1110 <br /> crry Chicago STATE IL ZIP 60611 <br /> OWNER PHONE: OWNER EMAIL: <br /> CONTRACTOR NAME: Greater Seattle Construction, LLC <br /> CONTRACTOR ADDRESS: STREET 10420 E Riverside Dr, Ste 103 <br /> cIT' Bothell STATE WA ZIP 98011 <br /> CONTRACTOR PHONE: 425-949-5601 CONTRACTOR EMAIL: corey@greaterseattleconstruction.com 5243O3 <br /> CONTRACTOR LICENSE#(REQUIRED): GREATSC881 MR CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): ' <br /> PRIMARY CONTACT: 0 OWNER 0 CONTRACTOR ca OTHER(Please Specify) Structural Engineer <br /> CONTACT NAME: CONTACT PHONE: 425-318-6049 .:;l.0 a2 5(12 21 <br /> Jeff Gilliland, SE CONTACT EMAIL: jeff@gkstructural.com <br /> BUILDING PERMIT APPLICATION <br /> Existing Use of Building: F Contract Price of Work:$ 10,000 <br /> Proposed Use of Building: no change Heat Source: ❑Gas DElectric DOther N/A <br /> Building Type: ❑SFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units: ❑Commercial IZindustrial <br /> Type of Project: ❑New ❑Addition ❑Remodel I,aRepair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use <br /> DESCRIPTION OF WORK: <br /> REPAIR VEHICLE DAMAGED SHEAR WALL PIER AT REAR EXIT OF EXISTING AUTO EMMISIONS TESTING GARAGE,ALL REPAIRS TO MATCH EXISTING IN LIKE KIND. <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 o azures #of List of Fixtures #of List• ixtures <br /> Fixtures Fixtures Fixtures Fixtures <br /> A/C—Air Handling Units at Pump Toilet Ba« Preventer(Inside Bldg) <br /> Forced Air Systems / Unit Heater Bathtub nal <br /> Gas Piping Boiler Lavatory(Wash Basin) 1., Drinking Fountain <br /> Water Heater Refrigeration Shower Floor Drain <br /> Gas Fireplace Wood Stove Kitchen Sink&Dispos- Grease Trap <br /> Gas Range Ducting Dishwasher Roof Drains <br /> Clothes D Hookups Other: Clothes Wash= Medical Gas <br /> Range od Water He- r Other: <br /> Exh st Fan Sink rvice/Bar/Mop/etc.) Other: <br /> PRINKLER 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.lam the owner,or I am authorized by the owner of this property to perform the work for which application is made, <br /> and I co,ply with the State'•nt-ctors Law 18.27 RCW and 296.200A WAC. <br /> �� City of Everett Official Use Only <br /> / /, PERMIT# <br /> i I( �- 033 <br /> Own:`•f �1� f'+" ignature D to (Revised 9/23/2016) j <br /> 11, <br />