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PERMIT APPLICATI <br /> BUILDINCrIECHANICAL/ PLUMBING /SIG RINKLER/ DEMOLITION <br /> EVERETT CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> WASHINGTON (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:3003 West Casino Road, Everett,WA 98204( (40. ROPERTY TAX#: <br /> LEGAL for new construction: Short Plat/subdivision Lot'No. (attach copyof long legal description) <br /> ) <br /> ` , ' 'a CONTACT INFORMATION - <br /> OWNER NAME: Boeing Company TENANT BUSINESS NAME(Commercial): Boeing <br /> OWNER MAILING ADDRESS: STREET737 Logan Ave. <br /> ciT' Renton STATE WA ZIP 98057 <br /> OWNER PHONE: OWNER EMAIL: <br /> CONTRACTOR NAME:Hermanson Company <br /> CONTRACTOR ADDRESS: STREET 1221 2nd Ave.N. <br /> CITYKent STATE WA zip 98032 <br /> CONTRACTOR PHONE: CONTRACTOR EMAIL: <br /> CONTRACTOR LICENSE#(REQUIRED):HERMACLOO5BJ CITY OF EVERETT BUSINESS LICENSE#(REQUIRED): <br /> PRIMARY CONTACT: ❑OWNER 0 CONTRACTOR 0 OTHER(Please Specify) Permit Coordinator <br /> CONTACT NAME: CONTACT PHONE:(206)305-9238 <br /> Lyndsi Foster CONTACT EMAIL:(foster@hermanson.com <br /> BUDDING INFORMATION <br /> Existing Use of Building:Commercial Contract Price of Work:$55,869.00 <br /> Proposed Use of Building: Heat Source: ❑Gas ❑Electric ❑Other <br /> BUILDING USE: ❑SFR ❑Townhouse ❑Duplex ❑ADU ❑Multi-Family-#Units: ❑✓Commercial ❑Accessory Structure <br /> Type of Project: ❑New ❑Addition ❑Remodel ❑Repair DTA. ❑Sign ❑nS�pri�nkler ❑Demolition ❑Change of Use <br /> DESCRIPTION OF WORK: Provide and install (1) split system.7x ok11 e.cC-r iAfit t q <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> MECHANICAL PERMIT APPLICATION PLUMBING''PERMIT APPLICATION <br /> Fixture Fixture Fixture Fixture <br /> Count List of Fixtures Count List of Fixtures Count List of Fixtures Count List of Fixtures <br /> 1 NC—Air Handling Units Gas Piping Backflow Preventer(Inside Bldg) Shower,Tub,or Combo <br /> Boiler Gas Range Clothes Washer Sink-Commercial(3-comp,prep,floor) <br /> Clothes Dryer 1 Heat Pump&Ductless Dishwasher Sink-Residential(kitchen,bath,bar) <br /> Duct System(Remodel) 1 Refrigeration Drinking Fountain Sink-Utility,laundry,mop <br /> Exhaust Fans(Residential) Commercial Ventilatior Floor Drain Toilet <br /> Exhaust Hood(Type I) (Not Heat/AC system) Hose Bibb Urinal <br /> Exhaust Hood(Type II) Water Heater Interceptor-Grease Waste/Water Piping Repair <br /> Exhaust Hood(Residential) Wood Stove Interceptor-Sand/Oil Water Service(behind meter) <br /> Forced Air Systems Other: Medical Gas Water Valves or Fixtures <br /> Gas Fireplace/Insert/Log Roof Drains Water Heater <br /> SPRINKLER/SUPPRESSION;SYSTEM , Sewage Ejector or Sump Pump Other: <br /> Water Suppression System No.of Heads <br /> Chemical Suppression System 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 /> ,....oci ...... 0._ , <br /> � PERMIT <br /> �•�, <br /> O' �'er/Au '.r•:� nt ignature Date (Revised 10/10/2018) "yz_ <br />