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p RMIT APPLICATION� <br /> BUILDIN( VIECHANICALI/PLUMBING I SIGK RINKLER/ 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: 3402 McDougall Ave. Everett, WA 98204 PROPERTY TAX#: <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> CONTACT INFORMATION <br /> OWNER NAME: Snohomish County TENANT NAME(If Commercial): N/A <br /> OWNER MAILING ADDRESS: STREET 3000 Rockefeller Ave <br /> CITY Everett STATE WA zip 98201 <br /> OWNER PHONE: 425.754.4509 OWNER EMAIL: Dick.Ronaco.snohomish.wa.us <br /> CONTRACTOR NAME: McKinstry <br /> CONTRACTOR ADDRESS: STREET 5005 Third Avenue South <br /> CITY Seattle STATE WA ZIP 98134 <br /> CONTRACTOR PHONE: 206.762.3311 CONTRACTOR EMAIL: Johntu@mckinstry.com <br /> CONTRACTOR LICENSE#(REQUIRED): CC MCKINEL874CL CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): 052236 <br /> PRIMARY CONTACT: ❑OWNER la CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 206.992.0554 <br /> John Turk <br /> CONTACT EMAIL: JohnTu@mckinstry.com <br /> BUILDING PERMIT APPLICATION <br /> Existing Use of Building: Commercial Contract Price of Work: $ 110K <br /> Proposed Use of Building: N/A Heat Source: IGas ❑Electric ❑Other <br /> Building Type: ❑SFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units: El Commercial El Industrial <br /> Type of Project: ❑New ❑Addition ❑Remodel KI Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use <br /> DESCRIPTION OF WORK: Existing RTU is past it's service life and will be replaced with a new unit. <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type of Project: New _ Addn _Alteration X Repair Type of Project: _New _Addn _Alteration _Repair <br /> #of List of Fixtures #of List of Fixtures #of 'St of Fixtures #of List of " ures <br /> Fixtures Fixtures Fixtures Fixtures <br /> 1 NC—Air Handling Units Heat Pump Toilet _ Backflow eventer(Inside Bldg) <br /> Forced Air Systems Unit Heater Bathtub Urin <br /> 1 Gas Piping Boiler Lavatory(Wash Basin inking Fountain <br /> Water Heater Refrigeration Shower Floor Drain <br /> Gas Fireplace Wood Stove Kitchen Sink&Disposal Grease Trap <br /> Gas Range 1 Ducting Dishwasher 'oof Drains <br /> Clothes Dryer Hookups Other: Clothes Washer Me.',.I Gas <br /> Range Hood Water Heater Other: <br /> Exhaust Fan Sink(S ce/Bar/Mop/etc.) Other: <br /> UPPRES • - <br /> - . orrater <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 /> Digitally signed by John Turk City of Everett Official Use Only <br /> John Turk:. <br /> EE; EE::0m' PER t M `1/466Ug <br /> Owner/Authorized Agent Signature Date (Revised 9/23/2016) ���lll <br />