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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 /> SITE ADDRESS: PROPERTY TAX# I PERMIT# _ I O <br /> 6101 Associated Blvd, Bldg A 28040100303500 ,, � D <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> OWNER Underwood Gartland Everett, LLC Phone/E-mail David Gartland, david@ug-dev.com <br /> Address PO Box-3513, Bellevue,WA 98009 City/State/Zip Bellevue, WA 98009 <br /> APPLICANT: Owner Owner's Agent X Contractor _Contractor's Agent _Tenant(must provide a letter of consent from the owner to do work in the space) <br /> CONTRACTOR GS Mechanical State Lic.# GSMECML928RI4 City Bus. Lic.# 047137 <br /> Address `PO Box 1917, Renton WA 98057 Phone/Email 206-372-0332 greg@gsmechanicalshop.com <br /> TENANT'$USINESS NAME_/ CONTACT FOR PERMIT Greg Smalling 206-372-0332 <br /> �vCG'7f lL /'�'4 DA, greg@gsmechanicalshop.com <br /> Phone/E-mail <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK. 428.886' 60, OD O <br /> Existing Use of Building HEAT SOURCE: <br /> Proposed Use of Building Gas_ Electric_ Other_ <br /> Building type: Single Family Duplex_Townhouse Multi-Family Commercial <br /> -Typeof project: New Addition Remodel _Repair T.I. Sign Sprinkler Demolition Change of Use <br /> - DESCRIPTION OF WORK(additional space provided on the back): Ak t ) `7' //J U Pt � /? 57-g corp2S <br /> �2Ei)c1f O /h/US cel,ii1 o/ - f—�C <br /> !/VTt,c fTo< <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type of Project: New_Addn _Alteration Repair Type of Project: X New_Addn _Alteration_Repair <br /> Show Number(#)of fixtures Show Number(#)of fixtures <br /> A/C—air handling units 60 Toilet <br /> _ Forced air systems Bathtub <br /> Gas piping 2(7 Lavatory(wash basin) <br /> Water heater Shower <br /> Gas fireplace !a Kitchen sink 8&-Eisptsal ,f/U �f/Sf 3' e, <br /> Gas range Dishwasher <br /> { Clothes dryer Clothes washer <br /> Range hood r2 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 7- Floor drain <br /> Woodstove Grease trap <br /> Ducting Roof drains <br /> Other Medical Gas <br /> SPRINKLER /SUPPRESSION SYSTEM - <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 comp <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 tam 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 296.200A WAC. <br /> ._ •'1.9.15 )z 2.3, ! c <br /> Owner/A horized A. Date (Revised 9/2014) <br />