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PERMIT APPLICATION <br /> BUILDING/MEC HANICAL/PLUMBING/SIG N/SPRIN KLER/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 /> 44 1156 9 — 0 <br /> SITE ADDRESS:2829 Rucker Ave Everett, WA 98201 PROPERTY TAX#00439166900902 PERMIT#4KWO� <br /> LEGAL for new construction: Short Plat/subdivision EVERETT PLAT OF BLK 669 D-02 Lot No.9-13 (attach copy of long legal description) <br /> OWNER Coast Real Estate Phone/E-mail 800-339-3634 <br /> Address 2829 Rucker Ave Everett, WA 98201 City/State/zip Everett, WA 98201 <br /> APPLICANT: Owner Owner's Agent 0 Contractor _Contractor's Agent Tenant(must provide a letter of consent from the owner to do work in the space) <br /> CONTRACTOR PSR Mechanical state Lic.# PSRHVMS924JT City Bus. Lic.# 0 d SS <br /> Address 3132 NE 133rd St Seattle, WA 98125 Phone/Email david.mcreynolds@psrmechanical.com <br /> TENANT BUSINESS NAME CONTACT FOR PERMIT <br /> Coast Real Estate David McReynolds <br /> Phone/E-mail 206-930-7768 <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK $19,038 <br /> Existing Use of Building Commercial Office HEAT SOURCE: <br /> Proposed Use of Building Commercial Office Gas Electric ✓ Other-0 <br /> Building type: ❑Single Family DDulexE--]Townhouse E Multi-Family ✓ Commercial <br /> Type of pro ect—EI New ❑Addition Remodel EZ] Repair air❑T.I. Sin Sprinkler Elemolitior❑Chane of Use <br /> DESCRIPTION OF WORK(additional space provided on the back): <br /> 42i.--et,ACC z V�vq-VWAW I'T t:� Sop4T-eok rpt <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type of Project: ❑New Evddn Alteration[Z]Repair Type of Project: _New_Addn _Alteration_Repair <br /> Show Number(#)of fixtures Show Number(#)of fixtures <br /> 3 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 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 /> D,9,t,:l signed by 0a McReynolds <br /> David McReynolds bma,,,,.e dM.R.ay d1@PSRSRM.r„A„-r —S <br /> ­b <br /> 2015D924 12A6 <br /> s 9/1/15 <br /> osm.mi s os zn iz.is:n-oroo� <br /> Owner/Authorized Agent Signature Date (Revised 9/2014) I <br />