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Jan 19 16 12:02p <br />p.2 <br />PERMIT APPLICATION <br />BUILDINGIMECHANICAL/PLUMBINGISIGNISPRINKLER/DEMOLITION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everett, WA 98201 425-257-8810 FAX 425-257-8857 wvvw.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />SITE ADDRESS <br />6300 Merrill Creek Pkwy <br />PROPERTY TAX 4P <br />28040200301500 <br />IT _ O <br />LEGAL for new construction: Short Platisubdivision Lot No. (attach copy of long legal description) <br />OWNER MCC EVERETT LLC <br />Phone)E-frail <br />Address 600 UNIVERSITY ST STE 282D <br />City/stale/Zip SEATTLE, WA 98101 <br />APPLICANT: Owner _Owner's Agent X Contriclor _`Contractor's Agent Tenant frtustpmvidea letter orcensenth­thee,.rerlo dovon<inthe sneczl <br />CONTRACTOR State Mechanical <br />L & I Lic. # STATEMC141C7 COE Bus. Lic. # 030329 <br />Address 87C6 S 222nd ST Kent, WA 98031 Phone/Email 206-575-7527 stevec@statemech.net <br />TENANT BUSINESS NAME <br />CONTACT FOR PERMIT <br />Phone/E-man 206-575-7527 stevec@state mech,net <br />BUILDING PERMIT APPLICATION <br />CONTRACT PRICE OF WORK _$14,980.00 <br />E>asting Use of Building HEAT SOURCE: <br />Proposed Use of Building Gas_ Electric_ Other <br />Building type: _ Single Family ____ Duplex __Townhouse _ Multi -Family _ Commercial <br />Type of project: _ New _Addition _ Remodel _ Repair X T.I. _ Sign _Sprinkler _Demolition _Change of Use <br />DESCRIPTION OF WORK (a fdk,onai space provided on the back) : <br />To plumb and install: 3 Water closets, 3 Lav's, 3 Floor drain, 2 sinks & 1 Hot water tan[( <br />MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br />Type of Project: _New X Addn _Alteration _Repair Type of Project: _New _Addn _Alteration _Repair <br />Show Number (#) of fixtures Show Number (#) of fixtures <br />A/C — air handling units 3 Toilet <br />Forced air systems Bathtub <br />Gas piping 3 Lavatory (wash basin) <br />Water heater Shower <br />Gas fireplace 2 Kitchen sink 8 disposal <br />Gas range <br />Dishwasher <br />j Clothes dryer <br />Clothes washer <br />Range hood <br />1 Water heater <br />Exhaust fan <br />Sink (service/barimop/etc.) <br />Heat pump <br />Backflow preventer <br />Unit heater <br />Urinal <br />Boiler <br />Drinking Fountain <br />Refrigeration <br />3 Floor drain <br />Woodstove <br />Grease trap <br />Ducting <br />I Roof drains <br />Other <br />Medical Gas <br />SPRINKLER 1 SUPPRESSION SYSTEM <br />Other - <br />Number of Heads <br />Other: <br />I he. aby certify that I have read and examined this application and know the same to be true and correct. All provisio-is of laws and ordinances governing this type of work wil be cumpiied <br />with whelhcr specified ;ierein or not. The granting o` 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 propeny to perform the work for which opolica;kin is made and I comply with the Stnte Contractors Law 1827 RCW and 293.20DA WAC. <br />Cot� 1/19/16 <br />Owner)Authorized Agent Signature Date (Revised 6`2012) <br />