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PERMIT APPLICATION <br /> BUILDING/MECHANICAL/PLUMBING/SIGN/SPRINKLER/DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St, Everett WA 98201 425-257-8810 FAX 425-257-8857 www.everettwa.org <br /> 24'4 tleiV4 S <br /> SITE ADDRESS: 12906 - 1PROPERIY TAX# I 28053000406300 PERP'#r D 6 <br /> 03 <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> OWNER 1st Western Properties Phone/E-mail <br /> Address 11621 97th Lane NE City/State/Zip Kirkland,Wa 98034 <br /> APPLICANT: Owner _Owner's Agent X Contractor Contractor's Agent Tenant(must provide a letter of consent from the owner to do work In the space) <br /> CONTRACTOR Brimstone Fire Safety State Lic.#BRIMSFS918KO City Bus.Lic.# 47609 <br /> Address 23422 57th Ave SE Woodinville,wa 98072 Phone/Email 425-956-3434 <br /> TENANT BUSINESS NAME CONTACT FOR PERMIT <br /> Martin Traicoff <br /> FRED MEYERS CLICK LIST <br /> Phone/E-mail 425-956-3434 martin@brimstonefiresafety.com <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK $9940 <br /> Existing Use of Building MERCANTILE HEAT SOURCE: <br /> Proposed Use of Building MERCANTILE Gas _, Electric__ Other <br /> Building type: _Single Family `Duplex Townhouse Multi-Family X Commercial <br /> Type of project: _New —Addition x Remodel _Repair_T.I.—Siisn_Sprinkler Demolition Change of Use <br /> DESCRIPTION OF WORK(additional space provided on the back): <br /> BRIMSTONE FIRE SAFETY IS ADDING 10 SPRINKLERS FOR A TENANT <br /> INPROVEMENT. <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type of Project: _New Addn _Alteration_Repair Type of Project: New Addn __Alteration_Repair <br /> Show Number(#)of fixtures Show Number(#)of fixtures <br /> NC–air handling units Toilet <br /> Forced air systems Bathtub <br /> Gas piping Lavatory(wash basin) <br /> Water 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(service/bar/mop/etc.) <br /> Heat pump Backflow preventer <br /> Unit heater Urinal <br /> Boiler Drinking Fountain <br /> Refrigeration Floor drain <br /> Woodstove Grease trap <br /> Ducting Roof drains <br /> Other Medical Gas <br /> SPRINKLER/SUPPRESSION SYSTEM Other. <br /> I 0 iiat Number of Heads Other. <br /> I hereby certify that I have read and examined this application and know the same to be true and correct.All provisions of laws and ordinances governing this type of work will be comp <br /> with whether specified herein or not.The granting of a permit does not presume to give authority to violate or cancel the provision of any other state or local law regulating construction <br /> That I am authorized by the owner of this property to perform the work for which application is made and I comply with the State Contractors Law 18.27 RCW and 296.200A WAC. <br /> I Wi <br /> Ovmer/Auffiorized Agent S re Date (Revised 9/2014) <br />