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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 /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> SITE ADDRESS:2605 15th St. PROPERTY TAX#00386200600000 PERMIT# <br /> 1303 -03.3 <br /> LEGAL for new construction: Short Plat/subdivision Lot No._# (attach copy of long legal description) <br /> OWNER HOUSING AUTHORITY OF EVERETT Phone/E-mail <br /> Address PO BOX 1547 City/State/Zip EVERETT,WA 98206 <br /> APPLICANT:_Owner _X_Owners Agent _Contractor _Contractors Agent _Tenant(must provide a letter of consent from the owner to do work in the space) <br /> CONTRACTOR TBD L&I Lic.# COE Bus. Lic.# <br /> Address Phone/Email <br /> TENANT BUSINESS NAME CONTACT FOR PERMIT <br /> Allison Zike,Smartlink <br /> Phone/E-mail allison.zike@smartlinkllc.com,(425)274-4444x112 <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK_$20,000 <br /> Existing Use of Building_Telecommunication Facilities "" t+r d I�`+Izmir', HEAT SOURCE: <br /> Proposed Use of Building no change - J Gas_ Electric_ Other <br /> Building type: _Single Family _Duplex_Townhouse _X_Multi-Family X Commercial <br /> Type of project: New Addition X Remodel _Repair_T.I._Sign_Sprinkler_Demolition_Change of Use <br /> DESCRIPTION OF WORK(additional space provided on the back): <br /> Install two (2) new equipment cabinets and three (3) new antennas to existing wireless telecommunication facilites. <br /> After system testing, remove three (3) existing cabinets and six (6) existing antennas. <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 /> A/C—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 I Grease trap <br /> Ducting I Roof drains <br /> Other Medical Gas <br /> SPRINKLER/ SUPPRESSION SYSTEM Other: <br /> 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 complied <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 298.200A WAC. <br /> 0145., <br /> OS 120 11 4i <br /> Owner/Authorize Signature Date (Revised 6/2012) <br />