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• • <br /> PERMIT APPLICATION <br /> BUILDING / MECHANICAL/ PLUMBING 1 SIGN /SPRINKLER/DEMOLITION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET,E'JERETT,WA 98201 <br /> (P)425-257-8810 � FtiX 425-257-88�7 I(Ej��reretfieps c€everettwa.gav� www.everett�a.gcrvtpermits <br /> (Blu�or Black#nk Only Please) PRq�JECT 3lTE INP�3RI►AATIt1N <br /> PROJECT 51TE ADDRESS: ��{� �$S� .�ir`�SI1�10 ROc"3C� � <br /> 'L �_l -.t f t�, _ . ��RrY rkx#: <br /> LEGAL for new construchon: Short PlaUsubdivision Lof No. (attach capy of long legal descriptionj <br /> � � � CONTACT (NFC�RMATION <br /> OWNER NAME: TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: srr�eer <br /> C�N STATE ZIP <br /> OWNER PHONE: OWNER EMAIL: <br /> CONTRACTOR NAME; B@St PlUtllbltlg GCOU�?, LLC <br /> CONTRACTOR ADDRESS: srReEr 4��9 StOft@ INBy N <br /> r,rrv Seattle srnrE WA Z��9$103 <br /> CONTRACTOR PHONE: 2OG-6�3-"I7OO CONTRACTOR EMAIL:bt'alldlll.171 best lumbin .co � <br /> CONTRACTOR LICENSE#(REQUIRED}: BESTPGL9T3CD CITY OF EVERETT BUSINESS LICENSE#(REQUIRE �:030495 , <br /> PRIMARY CONTACT: ❑OWNER Tt'7 CONTRACTOR ❑OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE:206-633-�7OO <br /> Brandin Moody CONTACT EMAIL:bC�lldlil.lTl b@St �LftTl�}I�3 .00171 <br /> ,�UILDING PERMtT APRi.lGAT�ON� ,, <br /> Existing Use of Building: L@�S111 t�ffiee Contract Price of Wor�i: F>OOO <br /> Praposed Use of Buiiding:Leasing UfFiCe Heat Source: ❑Gas �Ele ic ❑Other <br /> Building Type: ❑SFR-Detached ❑SFR-Attached ❑Duplex �Multi-Family-#of Units: ❑Commercial ❑Industrial <br /> Type of Project: ❑New ❑Addition �Remodel ❑Repair ❑T.I. ❑Sign ❑Sprinkier ❑Demoiition ❑Change of Use <br /> DESCRIPTION OF WORK: <br /> Remodel exisitng restrooms <br /> A3SOCIATED BUILDING PERMfT#(if applicable): <br /> MECHANICAL PERMIT APPLiCAT10N PLUMgING PERMiT APPLtGAT1UN <br /> Type of Project: _New _ Addn Alteration Repair Type of Project: New ���tdn �Alteration i2epair <br /> Fixtures List of Fi�rtures Fixfu es List of Fixtures #af List of Fixtures #°' Llst of Fixtures <br /> Fixtures Fixiur s <br /> A/C—Air Handling Units Heat Pump 3 Toilet � Backflow Preventar(inside Bidg) <br /> Farced Air Systems Ur�it Heater Bathtub <br /> � � ' Urinal <br /> Gas Piping Boiler s �Lavatoty(Wash Basin) � Drinking Fountain <br /> Water Heater Refrigeration ; Shower / Floor Drain <br /> Gas Fireplace Wood Stove / Kitchen Sink&Disposal� Grease Trap <br /> Gas Range Ducting Dishwasher Roof Drains <br /> Glothes Dryer Hookups Qther: Ciothes Washer Medical Gas <br /> Range Hood Water Heater Other: <br /> Exhaust Fan Sink(Service/Bar/Mop/etc.) Other: <br /> SPRINKLER f SUPPRESSION SYSTEM <br /> Number of Heads <br /> ACKNQWLEUGEMEN 1:t have reviewed this apptication and confirm fhe informatron contained herern rs true and correct.Work done pursuant to this permlt must comply with <br /> current federal,state,and local law.The granting of a permit only authorizes approved work and no devfations therefrom.Deviations must first be authorrzed ir�wrrting from the <br /> Buildrng OSicia!before being authonzed under any circumstance.1 am the owner,or 1 am authonzed by the awnor o/fhrs properiy to perform the work for which application is made, <br /> and l comply with the State Contractoi:s Law 18.27 RCW and 296.'LOOA WAC. <br /> City of Everett Ottrcial Use On/y <br /> �� � ; PE <br /> �/ `w � /�' �� � � � <br /> Ow r/Authorized A ent Signature Date (Revised 9/23/2016) <br />