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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 P RMI . <br /> 7100 Hardeson Road, Everett,WA 98203 28041100100100I ib (56(— <br /> ) 0 <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) �/ <br /> OWNER Community Transit Phone/E-mail (425) 348-2393/ <br /> Address 7100 Hardeson Road City/State/Zip Everett/WA/98203 <br /> APPLICANT: X Owner Owner's Agent Contractor _Contractor's Agent _Tenant(must provide a letter of consent from the owner to do work in the space) <br /> CONTRACTOR ��S C} State Lic.# City Bus. Lic.#o1 . <br /> Address V" Phone/Email <br /> TENANT BU NESS NAME CONTACT FOR PERMIT <br /> Phone/E-mail (425) 348-2393/larry.daubelnmire@commtrans.org <br /> /n <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK V sC',C <br /> Existing Use of Building Office HEAT SOURCE: <br /> Proposed Use of Building Office Gas Electric Other <br /> Building type: _Single Family _Duplex_Townhouse —Multi-Family X Commercial <br /> Type of project: _ New Addition _ _Remodel X Repair T.I. Sign ._ ._Sprinkler Demolition Chane of Use <br /> DESCRIPTION OF WORK(additional space provided on the back): <br /> Provide complete re-roof of the existing , Fuel Island Buildings. <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 airs stems 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 Grease trap <br /> Ducting Roof drains <br /> Other I Medical Gas <br /> SPRINKLER/SUPPRESSION SYSTEM I 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 compl <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 autho zed by the o ner of thi 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/Authori ed Agent Signature Date (Revised 9/2014) <br />