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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 /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> SITE ADDRESS:524 75th St SE PROPERTY TAX# PERM fJ.# ®, <br /> L�t4,,— <br /> LEGAL for new constructionShort Plat/subdivision Lot No (attach copy of long legal description) <br /> OWNERArch SSEVTWA01 LLC. Phone/E-mail <br /> Address.405 Park Ave. city/State/zip New York, NY 10022 <br /> APPLICANT: Owner Owner's Agent A Contractor Contractor's Agent Tenant(must provide a letter of consent from the owner to do work in the space) <br /> CONTRACTOR Meyer Sign Co. of Oregon L& I Lic # CC MEYERSC90089 COE Bus. Lic.# 048741 <br /> Address 15205 SW 74th Ave, Tigard, OR 97224 Phone/Email(503)620-8200/permits@meyersignco.com <br /> TENANT BUSINESS NAME CONTACT FOR PERMIT <br /> The Terrace@ Beverly Lake 503-620-8200/permits@meyersignco.com <br /> Phone/E-mail <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK 5.000.00 <br /> Existing Use of Building Commercial/Retail HEAT SOURCE: <br /> Proposed Use of Building Commercial/Retail Gas Electric Other <br /> Building type: _Single Family Duplex_Townhouse _Multi-F W]Commercial <br /> Type of project: New Addition Remodel Repair_T.I. I/ Sign_Sprinkler_Demolition Change of Use <br /> DESCRIPTION OF WORK(additional space provided on the back): ` <br /> IAtJ%7[t,(- i /�uJfJa F rAcz '� A10N - IllVIW1,VAt7`2 7 /VICom) 0XClt-,i T �t5�01�y <br /> JP 4-66"Ie .45 <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 air systems 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 complied <br /> with whether specified herein or no The g ting 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 am authorized b the owne of this pr perty to pe orm the work for which app/ ation is made and I comply with the State Contractors Law 18.27 RCW and 296.200A WAC. <br /> Owner/ t orized ent Signature Da (Revised 6/2012) <br />