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giERMIT APPLICATIO <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# PE T# i4 <br /> 2525 west Casino Road Bid 7 33 vIIPER <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> OWNER Integrated Reality Phone/E-mail <br /> Address 1015 Third Ave suite 900 City/State/Zip Seattle, WA 98104 <br /> APPLICANT:L.J.Owner u Owner's Agent 1J Contractor LI Contractor's Agent Tenant(must provide a letter of consent from the owner to do work in the space) <br /> CONTRACTOR Hermanson Company State Lic.# HERMACLOO5BJ City Bus.Lic.# 037262 <br /> Address 1221 2nd Ave N Kent, WA 98032 Phone/Email 2062007804 <br /> TENANT BUSINESS NAME CONTACT FOR PERMIT <br /> Terese Anderson <br /> Phone/E-mail 2062007804/tanderson@hermanson.com <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK {q(n2 o oO <br /> Existing Use of Building HEAT SOURCE: <br /> Proposed Use of Building Gas. Electric❑ Other 1=1 <br /> Building type: .❑Single Family Q Du lex❑Townhouse ElMulti-FamilyD Commercial <br /> Type of project: n New n Addition LI Remodel n Repairs T.I. n Sign nSprinklernDemolition❑Change of Use <br /> DESCRIPTION OF WORK(additional space provided on the back): <br /> Replace aging 50 Gal elec. Water heater like for like. <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type of Project:UNewuAddn LIAlteration Ltepair Type of Project:❑-NewQAddn✓Alteration ERepair <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 1 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 Grease trap <br /> Ducting 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 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 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 296.200A WAC. <br /> Owner/Authorized Agent Signature Date (Revised 9/2014) <br />