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� PERMIT APPLICATION <br /> BUILDING/MECHANICAL/PLUMBINGISIGNISPRINKLER/DEMOLITI(yN <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 Cedar St., Everett, WA 98201 -425-257-8610— FAX 425-257-8857—www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> SITE ADDR ESS: PROPERTY TA%p PERMIT R <br /> 1801 Broadwa Avenue 00438236300100 -D <br /> LEGAL for new constmction: Short PlaVsubdivision Lot No._ (attach copy o(long legal descriplion) <br /> OWNER Wells Far o [3ank Phone�E-mail 206-919-2352 <br /> ndd�o55 999 Third Avenue CitylStalelZip Seattle, WA 98104 <br /> CONTRACTOR Universal Mechanical Service �&i uc.n UNIVEM5132JF � <br /> nddress P.O. Box 2649, Redmond, WA 98073 Phone/Email 425-885-910U <br /> TENANT BUSINE55 NA�'E CONTACT FOR PERMIT <br /> Welis Fargo Bank Heath Hutchens <br /> Phonel6mail q25-885-9100 heath unimec.com <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE oF WORK 53817.50 <br /> Exisling Use of Building B��k HEAT SOURCE: <br /> Proposed Use of Building Same Gas X Electric_ Olher <br /> Building type: ,_Single Farnily _Duplex_Townhouse _Mulli-Family X Commercial <br /> Type of preject�. _New _Adddion _Remodel X Repair_T.L_Sign_Sprinkler_Demolition_Change of Use <br /> oescdp�ion orwork r�dd,�:o���i5����o H�o�-�a�ao�,�r,�b��k�: Replace existing gas furnace with new high-efficiency gas fumace <br /> with economiser. <br /> Have you started working without a ryermil7 _YES X NO <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Typo of Profec�: _Nnw_Addn _Allnratlon_Repalr Typo of ProJecl: _Nnw_Addn _Alturation_Ropalr <br /> Show Nwnber(q)oI/ixtures Show Number(M1 oflixtures <br /> AIC-air handlin uNls Toilet <br /> 1 Foiced air s stems Bathtub <br /> j Gas pipin Lavato (wash basin) <br /> Water healer , Shower <br /> Gas 6replace Kitchen sink&disposal I <br /> Gas ran e �ishwasher <br /> Clolhes dr er Clothes washer '� <br /> Ran e hood Water heater . <br /> Eahaust(an Sink(service/barlmo /etc.) <br /> Heat pwnp Backflow preventer <br /> Unit heater Urmal <br /> Boiler Drmkin Fountain <br /> Re(ric eration Floor drain <br /> Woodstove Grease tra <br /> Duclin Roof drains <br /> Other Medical Gas <br /> SPRINKLER / SUPPRESSICIN SYSTEM Other: <br /> Number of Heads Other: <br /> I hereby certify that I have read and ezamined Ihis application and know the same lo be tme and correct.All pmvisions of laws antl otdinances governing <br /> this type of work will be complied wilh whelher specified herein or not.The granting ol a permit does nol presume lo give aulhority�o violate or cancel <br /> Ihe provision of any other state or tocdl law reBula6ng consiruc�ion or Ihe peAormance of construclion.Thal I am authorized by Ihe owner of Ihis propetly <br /> to periorm Ihe work br wM�-epplication is made and�comply with!he State Contrectors Law iB27 RCW and 296200 Wa C <br /> � �� �' � �% <br /> -=`—=„r-----, �'. <br /> OwnedAuthorizedAgentSignaWro � Date (Revised2R017) <br />