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PERMIT APPLICATION <br /> BUILD1NG/ME HANICALIPLUMBING/SI N/ PRINKLERIDEMOLI'TION. <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St., Everett,WA 98201 425-257-8810 FAX 425-267-8857 www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> SITE ADDRESS: PROPERTY TAX# PERMIT# <br /> 5615 Evergreen Way, Everett, WA 98203' Parcel#00393200200301 iti f 90(-Ogg <br /> LEGAL for new construction: Short Plat/subdivision lot No, (attach copy of long legal description) <br /> OWNER Heritage Bank, Phone/E-mail <br /> Address PO Box 1578 city/state/zip Olympia, WA 98507 <br /> APPLICANT:, Owner —Owner's Agent X.Contractor Contractors Agent. Tenant(IMO pmwida a IOW of ccnsera from:rne owner to do work in rhe space) <br /> CONTRACTOR O.K. Systems, Inc.- DKSYSI*982L1 _L ix 11104 030,428-00 cOE Bus.Lic.a 049744. <br /> Address PO Box 8.86, Burlington, WA 98233 Phone/Email 360-755-1555 <br /> TENANT BUSINESS NAME CONTACT FOR PERII8IT <br /> uarron Drake 360-770-0951) <br /> Heritage Bank PhonetE-mai! darron©dksystemsinc.com <br /> BUILDING PERMIT APPLICATION CONTRACIPRICE OF WORK S 7.. <br /> 500 <br /> Existing Use of Building Rl1sinpgs< HEAT SOURCE: <br /> Proposed Use of.B llding„_, i,U,, „ )( Gas Electric_, Other' <br /> Building type; ,Single Family _Duplex Townhouse Multi-Family Commercial, <br /> Type of project: New Addition Remodel Repair .T.i. Sign Sprinkler Demolition Change of Use <br /> DESCRIPTION OF WORK(additional space provided on the back) <br /> Replace"Like for Like"2Ton Trane Rooftop MVAC Unit <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type of Project NewAddn Alteration_Repair Type of Project: _New._^Addn _Alteration„ Repair <br /> Show Number(#).of fixtures Show Number(#j offixtures <br /> 1 A/C;-air handling units Toilet <br /> Forced air systems Bathtub <br /> .�. Gas tLavatory(wash basin <br /> heater Shower '. . <br /> Gas fireplace Kitchen sink&disposal <br /> Gas range Dishwasher <br /> Clothes dryer Clothes washer <br /> Range hood Water heater <br /> Exhaust fan Sink(servicelbar/mopietc.) <br /> Heat pump Backflow preventer <br /> Unit <br /> E2efri Drinking <br /> rf ra sn 'Urinal <br /> Boiler Drinking Fountain CI c �"� <br /> g or drain - '�'., i. i\ <br /> Woodstove Grease trapI <br /> Ducting Roof drains' MAR 0 5 2tii,v li i i <br /> It 1/ <br /> Other Medical Gas i, .,.2 —...— <br /> SPRINKLER I SUPPRESSION SYSTEM other, CITY QT, fiVER P.",, <br /> Number of Heads Other; Permit Service,s.. .. <br /> I hereby certify that 1 have read Arid examined This application and know the same to be true and correct.All provisions of laws and dhfinarvesgoveming;this type of work w,ll becomplied <br /> with whether specified herein or not. he granting of,a permit does presume to give authority to vlolate;ofcancet the provision al anyother state or local faw regulating construction <br /> That tarn authorized by the ownerof This propettytopeifdrm'the work forwhhtctiapplicalion is made and t co'mpty with the State Contractors law 18.27 RCW and 296200A WAC.. <br /> "ei,„ of / inn i' ty�'�� <br /> -.w./ Off 01/2412019 y r ` {.[, <br /> Owner/Authorized Agent Signet are Date (F evised 612012) <br />