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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 /> 119 <br /> SITE ADDRESS: 6384 36TH AVE W, PROPERTY TAX# PERMIT_ # <br /> Powder Mill Business Center BuildingB 28040300400800 ,-) D <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> OWNER Panattoni Development Inc Phone/E-mail 206.838.3847 <br /> Address 6840 Fort Dent Way, Suite 350 City/State/Zip Seattle, WA 98188 <br /> APPLICANT:_Owner XI�O_w.ner's Agent Contractor Contractor's Agent _Tenant(must provide a letter of consent from the owner to do work in the space) <br /> CONTRACTOR State Lic.# City Bus. Lic.# —1 V!o <br /> Address Phone/Email <br /> TENANT BUSINESS NAME CONTACT FOR PERMIT r <br /> Funko SynThesis PLLC -John Llacuna;` <br /> Phone/E-mail 425.646.1818/john.11a naasyn�hesispllc.Wcom <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK $ <br /> Existing Use of Building Business/Storage/Manufacturing HEAT SOURCE: <br /> Proposed Use of Building Business/Storage/Manufacturing Gas X Electric_ Other_ <br /> Building type: _Single Family _Duplex_Townhouse _Multi-Family X Commercial <br /> Type of project: New Addition Remodel Repair X T.I. Sin Sprinkler Demolition Chane of Use <br /> DESCRIPTION OF WORK(additional space provided on the back): <br /> Construction of new Toilet Rooms and Break Room. Scope of work to include wall and <br /> ceiling framing, finishes and fixtures. <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(inside bldg) <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 ere certify at 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 /> ere crfied herein or not.The granting of a permit does not pres me tog e authority to violate or cancel the provision of any other state or local law regulating construction <br /> /T t I am aul rize y e owner of this property to perform the work for ch app cation is made and comply with the State Contractors Law 18.27 RCW and 296.200A WAC. <br /> Il/ ��I <br /> Owner/Author d Agent Signature Date (Revised 4/2015) <br /> Q/� <br />