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10/16/2015 13:15 2065757529 STATE MECHANICAL PAGE 02/02 <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 /> SITE ADDRESS: PROPERTY TAX* # <br /> 1800 41st Street,Suite S500 006205000000'02 ©'t '- <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> OWNER 1800 41ST ST LLC phone/E-mail <br /> Address 1800 41ST ST STE 210 City/state/Zip EVERETT,WA 98203 <br /> APPLICANT:_Ownor Owner's Agent X Contractor Contractor's Agent Tenant(must pfnvitia a layer ot coneent tom the owner to do wadi In dpace) <br /> CONTRACTOR State Mechanical L&I Lic.# STATEMC141C7 COE Bus.Lic_#030329 <br /> Address 8706 S 222nd ST Kent,WA 98031 Phone/Email 206-575-7527 stevec@statemech.net <br /> TENANT BUSINESS NAME 500 CONTACT FOR PERMIT <br /> Ut(Al- ( .i m I � Phone/E-mail 206-575-7527 stevec@statemech.net <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK <br /> Existing Use of Building HEAT SOURCE: <br /> Proposed Use of Building Gas_ Electric_ Other, <br /> Building type: ,Single Family _Duplex_Townhouse _Multi-Family Commercial <br /> Type of project: New Addition Remodel _Repair X T.1. Sign Sprinkler Demolition_Change of Use <br /> DESCRIPTION OF WORK(additional apace A.rovidcd on the back): • <br /> To plumb and install:3 Sinks, 2 Insta hot's <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type of Project: _Now X Addn Alteration,Repair Type of Project; New_Addrr _,_,Alteration_Repair <br /> Show Number(11)of fixtures Show Number(#)of fixtures <br /> A/C—Sir handling units Toilet <br /> j Forced air systems Bathtub <br /> • Gas piping _ i Lavatory(wash basin) <br /> ( Water heater = Shower <br /> Gas fireplace 3 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 I Floor drain <br /> }yi Woodstove Grease trap <br /> Ducting Roof drains <br /> Other I! Medical Gas <br /> SPRINKLER/SUPPRESSION SYSTEM 2 Other: Insta hot's <br /> Number of Heads i Other. <br /> I hereby certify that I have read and examined this application and know the same to be true and comers.All provisions of laws and ordinances governing thea type of wOrk will be complied <br /> with whether apocafed heroin or not The granting of a permit aces not presume to give authority to violate or cancel me provision or 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 end 296.200A WAC. <br /> C&vui 10/16/15 <br /> Owner/Authorized Agent Signature Date (Revised 6/2012) <br />