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• <br /> PERMIT APPLICATION <br /> BUILDING!MECHANICAL!PLUMBING/SIGNlSPRINKLER/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 f; P�2MIT# <br /> 2215 Merrill Creek Parkway 28040200300300 , . — , <br /> LEGAL for new construction Short PlatiSldbdivision Lot No (attach copy of long legal description) <br /> OWNER Polo LLC Phone+E-mail <br /> Address3248 Hunts Point Road City.state/zpBellevue, WA 98004 <br /> APPLICANT: Omer Owner's Agent Contractor Contractor's Agent r• r Tenant imust provide a letter of consent from the owner to do vrork m the space) <br /> CONTRACTORTBD I &I I_tc tt COL Bus Lic <br /> Address PhonerEmail <br /> TENANT BUSINESS NAME CONTACT FOR PERMIT 2a,q'1 q <br /> Verizon Wireless Sarah TelschowaLC (eZLaB <br /> PhonelE-mail <br /> BUILDING PERMIT APPLICATION CONTRACT PRICE OF WORK$A 000 <br /> Existing Use of Building Commercial/Telecom _ HEAT SOURCE= <br /> Proposed Use of Building Telecom Gas_ Electric_ Other <br /> Building type Single Family Duplex_Townhouse Multi-Family M Commercial <br /> Type of project: New Addition ,/ Remodel Repair_T.I._Sign_Sprinkler_Demolition Change of Use <br /> DESCRIPTION OF WORK(add)tional spare provided on the back) <br /> The applicant, Verizon, is proposing to attach a new wireless telecommunication facility to an existing <br /> one hundred fifty foot (150') monopole at 2215 Merrill Creek Parkway Everett, WA <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 /> I orced 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 healer <br /> Exhaust fan Sink(servlce!bamnopletc.) <br /> Heat pump Backflow preventer <br /> Unit heater Urinal <br /> Boiler Drinking Fountain <br /> Refrigeration Floor drain <br /> Woodslove Grease trap <br /> Dueling 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 lava and oidinances governing this type of:•:ork•chili 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 la-.-.-regulating construction <br /> Tha am authorized b he owner of this property to perform the work for which application is made and I comply with the Stale Contractors Lav:18 27 RCd'V and 296 200A V;rAC <br /> A A(A4;:1�1 ?=Lf I I y <br /> e t i A r )ate (Revised 6/2052) <br />