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• 0 <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 TO4 PM <br /> SITE ADDRESS:1920 Merrill Creek Pkwy, Everett WA 98203 PROPERTY TAX#0004713 PE IT# <br /> LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br /> OWNER LBA Realty Phone/E-mail206-812-6228 MRollolazo@lbarealty.com <br /> Address600 University Street, Suite 3025 City/State/zip Seattle, WA 98101 <br /> APPLICANT:❑Owner ElOwner's Agent E]Contractor 0 Contractor's Agent X Tenant(must provide a letter of consent from the owner to do work in the space) <br /> CONTRACTOR DB General Contractors L&I Lic.# 122,683-00 COE Bus. Lic.# 050087 <br /> Address 7032 South 220th Street, WA 98001 Phone/Email 253-736-2980 <br /> TENANT BUSINESS NAME CONTACT FOR PERMIT <br /> Synsor Corp Phone/E-mail 425-931-9693 tmorgan@synsor.com <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK $39,674 <br /> Existing Use of Building HEAT SOURCE: <br /> Proposed Use of Building Gas Electric Other <br /> Building type: Single FamilyL—t Du lex ownhouse F-1Multi-FamilyDCommercial <br /> Type of project: New Addition f Remodel ❑Repair 2 T.I. Sign SprinkleraDemolition[Change of Use <br /> DESCRIPTION OF WORK(additional space provided on the back): <br /> Adding office space and two additional conference rooms. Also enclosing lobby area <br /> MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION <br /> Type of Project: New ddn L—JIteration Repair Type of Project: New ddn Iteration LiRepair <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 j 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 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 /> Owne thorized Agent Signature Date (Revised 6/2012) <br />