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PERMIT APPLICATION <br /> BUILDING / MECHANICAL/ PLUMBING / SIGN / SPRINKLER / DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> /174.17-a <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> (P)425-257-8810 1 FAX 425-257-8857 I(E)everetteps@everettwa.gov 1 www.everettwa.gov/permits <br /> (Blue or Black Ink Only Please) PROJECT SITE INFORMATION <br /> PROJECT SITE ADDRESS: 3001 Oakes Avenue, Everett, WA 98201 PROPERTY TAX#: 00439071400100 <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME: Snohomish County Property Management TENANT NAME(If Commercial): Snohomish County Government Campus <br /> OWNER MAILING ADDRESS: STREET 3000 ROCKEFELLER AVE M/S 404 51/1/V14. r <br /> CITY Everett STATE WA ZIP 98201 <br /> OWNER PHONE: OWNER EMAIL: <br /> CONTRACTOR NAME: D.K. Systems, INC. <br /> CONTRACTOR ADDRESS: STREET PO Box 886 <br /> cni Burlington STATE WA ZIP 98233 <br /> CONTRACTOR PHONE: 360-755-1555 CONTRACTOR EMAIL: tami©dksystemsinc.com <br /> CONTRACTOR LICENSE#(REQUIRED): DKSYSI*982L1 CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 049744 <br /> PRIMARY CONTACT: 0 OWNER ®CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: Kevin Korthuis CONTACT PHONE: 360-770-7981 <br /> CONTACT EMAIL: kevin@dksystemsinc.com <br /> BUILDING PERMIT APPLICATION <br /> Existing Use of Building: Business Contract Price of Work: $ $185,000.00 <br /> Proposed Use of Building: Business 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 I$1 Remodel CI Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use <br /> DESCRIPTION OF WORK: <br /> I-- : - - -- . . _ , Install (5)Air Handling Units, Install (1) Exhaust Fan, Install (1) Heat Pump <br /> Ducting Only to (5) Systems <br /> ASSOCIATED BUILDING PERMIT#(if applicable): B1709-011 <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type of Project: _New _ Addn X Alteration _Repair Type of Project: _New _Addn _Alteration _Repair <br /> Fixtures List of Fixtures Fixtures List of Fixtures #of List of Fixtures #of List of Fixtures <br /> Fixtures Fixtures <br /> 5 A/C—Air Handling Units 1 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 5 Ducting Dishwasher Roof Drains <br /> Clothes Dryer Hookups 2 then rlc Clothes Washer Medical Gas <br /> Range Hood a ters Water Heater Other: <br /> 1 Exhaust Fan Sink(Service/Bar/Mop/etc.) Other: <br /> SPRINKLER/SUPPRESSION SYSTEM <br /> Chemical or Water 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 /> PERMIT# <br /> Dulce Herrera,Administration Assistance 05/07/2018 0114 l 63j(/) - MO <br /> Owner/Authorized Agent Signature Date (Revised 9/23/2016) <br />