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0 <br />( <br />• <br />� <br />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 />TE ADDRESS: PROPERTY TAX # PE$y�IT-#r 1�1 <br />6300 Merrill Creek Pkwv, Everett,WA 28040200301500 �`jl�V'"�`���� <br />for new construction: Short PlaUsubdivision Lot No. (attach copy of long legal description) <br />MERRILL CREEK HOLDINGS LLC <br />600 UNIVERSITY ST., SUITE 262 <br />RACTOR TCL Partners <br />ress 1600 Mill Creek Blvd, Mill Creek <br />Kuka NW (Aerospace) <br />BUILDING PERMIT APPLICATION <br />Phone/E-mail 206-613-5307/randerson@waholdings.com <br />City/State/Zip SEATTLE , WA, 98101 <br />L & I Lic. # TCLPAPC919QD <br />WA 98012 PhonelEmail 425-316-3500 <br />CONTACT FOR PERMIT <br />Harold Christensen Lance Mueller & Assoc <br />Phone/E-mail 206 325-2553 haroldc@lmueller. com <br />CONTRACT PRICE OF WORK $ 7, 5 O O <br />Existing Use of Building Office, Warehouse & Manufacturing HEAT SOURCE: <br />ProposedUseofBuilding Office, Warehouse & Manufacturin Gas• Eiectric Other_ <br />Building type: _ Single Family _ Duplex _Townhouse _ Multi-Family _ Commercial <br />Type of project: _ New _ Addition _ Remodel _ Repair � T.I. _ Sign _Sprinkler _Demolition_Change of Use <br />Description of Work (additiona/ space provided on the back) ; <br />Convert open break area to walled in break room. New walls and ceiling. <br />NO NEW AREA ADDED TO BUILDING. <br />Have you started working without a permit? _YES � NO <br />MECHANICAL PERMIT APPLICATION <br />Type of Project: _New_Addn _Alteration _ <br />Show Number (#) of fixtures <br />A/C — air handling units <br />Forced air systems <br />Gas piping <br />Water heater <br />Gas fireplace <br />Gas range <br />Clothes dryer <br />Range hood <br />Exhaustfan <br />Heat pump <br />Unit heater <br />Boiler <br />PLUMBING PERMIT APPLICATION <br />Repair Type of Project: _New_Addn _Alteration _Repair <br />Show Number (#) of fixtures <br />Toilet <br />Bathtub <br />Refrigeration <br />Woodstove <br />Ducting <br />Other <br />SPRINKLER / SUPPRESSION SYSTEM <br />Number of Heads <br />Lavatory (wash bas <br />Shower <br />Kitchen sink & disp <br />Dishwasher <br />Clothes washer <br />Water heater <br />Sink (service/bar/m <br />Backflow nreventer <br />Drinking Fountain <br />Floor drain <br />Grease trap <br />Roof drains <br />Medical Gas <br />Other: <br />Other: <br />I hereby certiTy that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing <br />this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel <br />the provision of any other state or local law regulating construction or the performance of construction. That I am authorized by the owner of this property <br />to perf m work for which ppl �ion is made and I comply with the State Contractors Law 18.27 RCW and 296.200 WAC <br />� <br />9-12-14 <br />ne Authorized Agent S ature Date (Revised 2/2011) <br />