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PERMIT APPLICATIO <br /> BUILDING ; iJIECHANICAL / PLUMBING / SIGNTPRINKLER/ DEMOLITION <br /> #140014VV---1. CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> (P)425-257-8810 I FAX 425-257-8857 I (E)everetteps@everettwa.gov I www.everettwa.gov/permits <br /> (Blue or Black Ink Only Please) PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS:1525 75TH ST SW, EVERETT, WA 98203 PROPERTY TAX#: 28041100100500 <br /> LEGAL for new construction: Short Plat/subdivision SEE ATTACHEMENT Lot No. (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME: COMCAST CABLE TENANT NAME(If Commercial): COMCAST EVERETT FFO-MDF RM <br /> OWNER MAILING ADDRESS: STREET 1525 75TH ST SW <br /> CITY Everett STATE WA ZIP 98203 <br /> OWNER PHONE: 206-7684062 OWNER EMAIL: N/A <br /> CONTRACTOR NAME: MACDONALD MILLER <br /> CONTRACTOR ADDRESS: STREET 7717 Detroit Ave SW <br /> CITY Seattle STATE WA ZIP 98106 <br /> CONTRACTOR PHONE: 206-768-4062 CONTRACTOR EMAIL: permits@macmiller.com <br /> CONTRACTOR LICENSE#(REQUIRED): MACDOFS98ORU CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 040665 <br /> PRIMARY CONTACT: 0 OWNER l CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 206-768-4062 <br /> AMMONE BEMBRY CONTACT EMAIL: permits@macmiller.com <br /> BUILDING PERMIT APPLICATION <br /> Existing Use of Building: Contract Price of Work: $ 9,1 00.00 <br /> Proposed Use of Building: Heat Source: ❑Gas ❑Electric ❑Other <br /> Building Type: ❑SFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units: DS1Commercial ❑Industrial <br /> Type of Project: ❑New ❑Addition ❑Remodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use <br /> DESCRIPTION OF WORK: <br /> ADD SERVER ROOM SPLIT SYSTEM AIR CONDITIONING WITH ROOF TOP <br /> CONDENSING UNIT. <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type of Project: _New _ Addn X 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 1 Other: DIFFUSER Clothes Washer Medical Gas <br /> Range Hood 1 DU TLESSACSYCTEM Water Heater Other: <br /> Exhaust Fan Sink(Service/Bar/Mop/etc.) Other: <br /> SPRINKLER/ SUPPRESSION SYSTEM <br /> Number 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 /> • PERMIT# <br /> 10/19/2018 (Sr/ _� -- <br /> Owner/Authorized Agent Signature Date (Revised 5/20/2016) 0710 <br /> iI <br /> 7- <br />