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PERMIT APPLICATION BUILDING/ MECHANICAL/PLUMBING /SIGN 1 SPRINKLER 1 DEMOLITION <br /> of CITY OF EVERETT PERMIT SERVICES <br /> �����I 3200 CEDAR STREET,EVERETT,WA 98201 <br /> (P)425-257-8810 I FAX 425-257-8857 I(E)everetteps@everettwa.gov I vwvw.everettwa.gov/permits <br /> (Blue or Black Ink Only Please) PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS: 1000 SE Everett Mall Way, Everett,WA 98208 PROPERTY TAX#: 28051800305401 <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME: PUD #1 OF SNOHOMISH COUNTY TENANT NAME(If Commercial): Terra Staffing Expansion <br /> OWNER MAILING ADDRESS: STREET <br /> CITY - STATE ZIP <br /> OWNER PHONE: OWNER EMAIL: <br /> CONTRACTOR NAME: LaMar Moore t)j/'c,(� se- (-�eafe. 4 eler(� <br /> CONTRACTOR ADDRESS: STREET PO Box 1455 Monroe, WA 98272 <br /> CITY - STATE ZIP <br /> CONTRACTOR PHONE: 206-510-4250 CONTRACTOR EMAIL: LaMar@PreciseHeatandCooLcom <br /> CONTRACTOR LICENSE#(REQUIRED): PRECI HC891 L9 CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 50980 <br /> PRIMARY CONTACT: ❑OWNER fillCONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 425-319-3428 <br /> Yan Ding CONTACT EMAIL: Yan(p7PreciseHeatandCool.com <br /> BUILDING PERMIT APPLICATION <br /> Existing Use of Building: Contract Price of Work:$ 1600 <br /> Proposed Use of Building: Heat Source: ❑Gas ❑Electric ❑Other <br /> Building Type: ❑SFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units: ❑Commercial ❑Industrial <br /> Type of Project: ❑New ❑Addition ❑Remodel ❑Repair ❑T.I. ❑Sign El Sprinkler El Demolition ❑Change of Use <br /> DESCRIPTION OF WORK: <br /> Provide & install 3 new diffusers and 3 new returns and connecting existing system. <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 #°f List of Fixtures #°f 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 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 6 �.,t-ff Water Heater Other: <br /> Exhaust Fan Sink(Service/Bar/Mop/etc.) Other: <br /> SPRINKLER/SUPPRESSION SYSTEM <br /> Chemical or Water I No.of Heads <br /> ACKNOWLEDGEMENT't 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 tam authorized by the owner of this property to perform the work for which application is made, <br /> and!comply with the State Contractors Law 18.27 RCW and 296.200A WAC. <br /> City of Everett Official Use Only <br /> �~ ® <br /> 104 t /( 8-- <br /> PERMIT( f� y 45* <br /> Owner/Authorized Agent Signature Date (Revised 9/23/2016) <br />